Active NPI
John Choongwha Kang, M.D.
- Surgery Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A84086
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84086 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central City Community Health Center Inc | Current | Accepting new patients | |
| Central City Community Health Center Inc | Current | Accepting new patients | |
| Izuchukwu Okpara MD Inc | Surgery | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1235283094
General Practice
-
- Surgery Physician
- Valencia, CA
- NPI 1679004592
-
- Surgery Physician
- Los Angeles, CA
- NPI 1952702458
-
- Federally Qualified Health Center (FQHC)
- Upland, CA
- NPI 1174996318
-
- Federally Qualified Health Center (FQHC)
- Anaheim, CA
- NPI 1598386559
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.