Organization Active NPI

George Hon MD a Professional Corporation

Doing business as Kidney Wellness Institute

  • Nephrology Physician
  • Paramount, CA
National Provider Identifier
1689783292
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G73910 Issued in CA
Legal business name
GEORGE HON MD A PROFESSIONAL CORPORATION
Doing business as
Kidney Wellness Institute
Practice address
16415 Colorado Ave Ste 100
Paramount, CA 90723-5051
Phone
(562) 297-4120
Fax
(562) 297-4008
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Dr. George G Hon, M.D.NPI 1699772350
Title
President
Phone
(562) 424-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X G73910 CA Primary

Addresses

Primary practice location

16415 Colorado Ave Ste 100
Paramount, CA 90723-5051

Mailing address

16415 Colorado Ave Ste 100
Paramount, CA 90723-5051
Phone (562) 297-4120

Other identifiers 1

IdentifierTypeStateIssuer
00G739100MedicaidCAMEDICAID NUMBER

Other names 1

  • Kidney Wellness Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120228000291 CA Part B Supplier - Clinic/Group Practice 7113185737 Receives reassigned benefits from 1 practitioner
Practice locations: Paramount, CA

National Provider Directory

National Provider Directory

Locations

3610 Long Beach Blvd
Ste 201
Long Beach, CA 90807
Phone (562) 279-2150

3610 Long Beach Blvd
Long Beach, CA 90807
Phone (562) 424-2800

16415 Colorado Ave
Ste 100
Paramount, CA 90723
Phone (562) 297-4120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1689783292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16415 COLORADO AVE STE 100",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235051",
            "telephone_number": "562-297-4120",
            "fax_number": "562-297-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16415 COLORADO AVE STE 100",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235051",
            "telephone_number": "562-297-4120",
            "fax_number": "562-297-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE HON MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "HON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-424-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G73910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "MEDICAID NUMBER",
            "identifier": "00G739100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidney Wellness Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kidney Wellness Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paramount, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.