Individual provider Active NPI

John Choongwha Kang, M.D.

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1669531463
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A84086 Issued in CA
Practice address
1300 N Vermont Ave
Health Care Consultation Ctr; Doctors Tower 1St Floor
Los Angeles, CA 90027-6005
Phone
(323) 913-4350
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X A84086 CA
Surgery Physician 208600000X A84086 CA Primary

Addresses

Primary practice location

1300 N Vermont Ave
Health Care Consultation Ctr; Doctors Tower 1St Floor
Los Angeles, CA 90027-6005

Mailing address

1901 S Hogan CT
La Habra, CA 90631-2070
Phone (310) 431-7902

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
I20140402002582 CA Practitioner - General SurgeryPractitioner - Surgical Oncology 1951548155 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84086CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Central City Community Health Center Inc CurrentSince Jul 15, 2024 Accepting new patients
Central City Community Health Center Inc CurrentSince Jul 15, 2024 Accepting new patients
Izuchukwu Okpara MD Inc Surgery CurrentSince Jun 16, 2023 Accepting new patients
Central City Community Health Center Inc General Practice Current Accepting new patients
John C. Kang, MD, a Professional Corporation Surgery Past Accepting new patients
City of Hope Medical Group, Inc. Surgery Past Accepting new patients

Locations

1820 W Lincoln Ave
Anaheim, CA 92801
Phone (714) 635-0593

2237 W Ball Rd
Anaheim, CA 92804
Phone (714) 490-2750

12511 Brookhurst St
Garden Grove, CA 92840
Phone (714) 534-5050

2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019

5430 Arlington Ave
Riverside, CA 92504
Phone (714) 458-4617

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

12116 Beach Blvd
Stanton, CA 90680
Phone (714) 498-2222

28212 Kelly Johnson Pkwy
Ste 200
Valencia, CA 91355
Phone (661) 388-5945

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1669531463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S HOGAN CT",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906312070",
            "telephone_number": "310-431-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "address_2": "HEALTH CARE CONSULTATION CTR; DOCTORS TOWER 1ST FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276005",
            "telephone_number": "323-913-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "JOHN",
        "middle_name": "CHOONGWHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A84086",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A84086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.