Lisa M. Kang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10900T Issued in CA

Practice address

1400 W 6TH St
Suite 101
Corona, CA 92882-6508

Phone

(951) 734-2001

Fax

(951) 734-2323

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649390147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W 6TH ST",
            "address_2": "SUITE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928826508",
            "telephone_number": "951-734-2001",
            "fax_number": "951-734-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 6TH ST",
            "address_2": "SUITE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928826508",
            "telephone_number": "951-734-2001",
            "fax_number": "951-734-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "LISA",
        "middle_name": "M.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10900T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kalmikov
• Alexander Kamau
• Shilpy Kanda, PA-C
• Jonathan Scot Kane, LMFT
• Justin Kang
• Stephen Kang, PHARMD
• Abdul M Kapadia, RPH
• Christine Njeri Karathi, RN
• Michael Karimu
• Nancy Kariuki, REGISTERED NURSE

• Optometrist in Corona, CA
• Providers in Corona, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.