Daniel Kwon, DO

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

20A20106 Issued in CA

Practice address

14023 Paramount Blvd
Paramount, CA 90723-2605

Phone

(562) 286-6815

NPI assigned

May 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Family Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excell Integrated Medical Group IncGroup PAC ID 1557782349, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ace Home Health, Inc. Home health agency, Los Angeles, CA, CCN 058082
• Vast Home Health, Inc Home health agency, Burbank, CA, CCN 559036
• Foothill Regional Medical Center Hospital, Tustin, CA, CCN 050780
• Mesa Verde Post Acute Care Center Nursing home, Costa Mesa, CA, CCN 056362
• Buena Park Nursing Center Nursing home, Buena Park, CA, CCN 055571
• The Grove Post Acute Nursing home, Garden Grove, CA, CCN 555021
• Ocean Ridge Post Acute Nursing home, Long Beach, CA, CCN 056378
• Leisure Court Nursing Center Nursing home, Anaheim, CA, CCN 555520

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Mesa Verde Convalescent Hospital Inc.

  • Skilled Nursing Facility
  • Costa Mesa, CA
  • NPI 1144324880

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Excell Integrated Medical Group Inc

  • Family Medicine Physician
  • Paramount, CA
  • NPI 1659909521
  Medicare reassignment Care Compare group NPD
• Changsoo Medical Group

  • Internal Medicine Physician
  • Buena Park, CA
  • NPI 1790496107
  Medicare reassignment NPD
• Excell Integrated Medical Corporation

  • Hospitalist Physician
  • Paramount, CA
  • NPI 1164195848
  Medicare reassignment NPD
• Daniel Kwon DO Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Paramount, CA
  • NPI 1376483560
  NPD Authorized official
• SMG Medical Practice Group PC

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1710660659
  Medicare reassignment
• Memorial Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1255523643
  NPD (past)

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

• 1135 N Leisure CT Inc

  • Skilled Nursing Facility
  • Anaheim, CA
  • NPI 1033106703

  Nursing home

  Care Compare affiliation
• 8520 Western Avenue Inc

  • Skilled Nursing Facility
  • Buena Park, CA
  • NPI 1497742167

  Nursing home

  Care Compare affiliation
• Ace Home Health, Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1205808326
  Care Compare affiliation
• Alamitos Ridge Healthcare, LLC

  • Skilled Nursing Facility
  • Long Beach, CA
  • NPI 1689308132

  Nursing home

  Care Compare affiliation
• Alta Newport Hospital, LLC

  • General Acute Care Hospital
  • Tustin, CA
  • NPI 1043632938
  Care Compare affiliation
• Garden Grove Post Acute LLC

  • Skilled Nursing Facility
  • Garden Grove, CA
  • NPI 1750016259

  Nursing home

  Care Compare affiliation
• Mesa Verde Convalescent Hospital Inc.

  • Skilled Nursing Facility
  • Costa Mesa, CA
  • NPI 1144324880

  Nursing home

  Care Compare affiliation
• Vast Home Health, Inc

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1487168449
  Care Compare affiliation

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1639736846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14023 PARAMOUNT BLVD",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907232605",
            "telephone_number": "562-286-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14023 PARAMOUNT BLVD",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907232605",
            "telephone_number": "562-286-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "20A20106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgonzalez@excellmedicalgroup.com",
            "affiliation": "Y",
            "endpointDescription": "Outlook",
            "affiliationName": "Excell Integrated Medical Group Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14023 Paramount Blvd",
            "city": "Paramount",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907232605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Don Koolmees, M.A.
• Koung Y Chen MD, a Professional Corporation
• Jose Sia Kua, M.D.
• Kimberly Chiyo Kuwata
• Dawna Leiko Kuwaye, MA
• Lab Serv, Inc.
• Lantan LLC
• Jennifer M Lapadu
• Elizabeth Lara-Ruiz, RDA
• Sylvia Lizette Lares, PSYD

• Geriatric Medicine (Family Medicine) Physician in Paramount, CA
• Providers in Paramount, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.