Individual provider Active NPI

Soon Yull Kwun, M.D.,F.A.C.C.

  • Cardiovascular Disease Physician
  • El Monte, CA
National Provider Identifier
1700812211
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A33048 Issued in CA
Practice address
3131 Santa Anita Ave Ste 105
El Monte, CA 91733-1369
Phone
(626) 442-2151
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A33048 CA Primary

Addresses

Primary practice location

3131 Santa Anita Ave Ste 105
El Monte, CA 91733-1369

Mailing address

3131 Santa Anita Ave Ste 105
El Monte, CA 91733-1369
Phone (626) 442-2151

Other identifiers 1

IdentifierTypeStateIssuer
00A330480MedicaidCA

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
I20101004001356 CA Practitioner - Cardiovascular Disease (Cardiology) 1153513585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Los Angeles, CA 90010
Phone (626) 442-2151

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A33048CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soon Y Kwun MD Inc CurrentSince Apr 22, 2010 Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1700812211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 SANTA ANITA AVE STE 105",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917331369",
            "telephone_number": "626-442-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 SANTA ANITA AVE STE 105",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917331369",
            "telephone_number": "626-442-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWUN",
        "first_name": "SOON",
        "middle_name": "YULL",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A33048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A330480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.