Individual provider Active NPI

Kiet Loc, M.D.

  • Neurology Physician
  • Laguna Hills, CA
National Provider Identifier
1609041581
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A119338 Issued in CA
Practice address
23961 Calle de la Magdalena Ste 402
Laguna Hills, CA 92653-3685
Phone
(949) 837-1450
Fax
(949) 587-5787
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A119338 CA Primary

Addresses

Primary practice location

23961 Calle de la Magdalena Ste 402
Laguna Hills, CA 92653-3685

Mailing address

23961 Calle de la Magdalena Ste 402
Laguna Hills, CA 92653-3685
Phone (949) 837-1450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131212000584 CA Practitioner - Neurology 5597992800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Pennsylvania State University College of Medicine, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians

Practice addresses (Care Compare)

23961 Calle de la Magdalena
Suite 402
Laguna Hills, CA 92653-3685
Phone (949) 837-1450

2585 Miracle Mile
Suite 107
Bullhead City, AZ 86442-7522

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.02 of 100Reported as individual
Quality
63.34
Improvement activities
40
Cost
88.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A119338CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kiet Loc Apc CurrentSince Feb 15, 2016 Accepting new patients

Locations

23961 Calle de la Magdalena
Ste 402
Laguna Hills, CA 92653
Phone (949) 595-0095

24012 Calle de la Plata
Ste 150
Laguna Hills, CA 92653
Phone (949) 837-1130

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1609041581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA STE 402",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533685",
            "telephone_number": "949-837-1450",
            "fax_number": "949-587-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA STE 402",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533685",
            "telephone_number": "949-837-1450",
            "fax_number": "949-587-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOC",
        "first_name": "KIET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A119338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.