Active NPI
Cedric Sekyong Kwon, M.D.
- Anesthesiology Physician
- Lompoc, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A70537
- Practice address
- 508 E Hickory Ave
Lompoc, CA 93436-7337 - Phone
- (805) 737-3300
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 101932875 | WI | |
| Anesthesiology Physician | 207L00000X | A70537 | CA | Primary |
Addresses
Primary practice location
508 E Hickory Ave
Lompoc, CA 93436-7337
Mailing address
136 N 3Rd St
Lompoc, CA 93436-7002
Phone (805) 736-3164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0058550 | Medicaid | CA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Loma Linda University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 E Ocean Ave
Lompoc, CA 93436-7092
Phone (805) 588-5845
400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.66 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101932875 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lompoc Valley Anesthesia Associates | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Vituity-Wisconsin Anesthesia SC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Vituity-Wisconsin Anesthesia SC | Anesthesiology | Current | Accepting new patients |
| Oak Creek Anesthesia Services, Inc. | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Past | Accepting new patients |
Locations
2540 East St
Concord, CA 94520
Phone (925) 674-2228
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300
508 E Hickory Ave
Lompoc, CA 93436
Phone (805) 733-3333
136 N 3rd St
Lompoc, CA 93436
Phone (805) 736-1253
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2674 E Main St
Ste E306
Ventura, CA 93003
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Lompoc, CA
- NPI 1518013580
-
- Anesthesiology Physician
- Visalia, CA
- NPI 1619589512
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Anesthesiology Physician
- Milwaukee, WI
- NPI 1801620067
-
- Anesthesiology Physician
- Pleasant Prairie, WI
- NPI 1821831975
-
- Anesthesiology Physician
- Fremont, CA
- NPI 1982009759
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lompoc, CA
- NPI 1194711952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1700931896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 N 3RD ST",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934367002",
"telephone_number": "805-736-3164",
"fax_number": "805-736-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 E HICKORY AVE",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934367337",
"telephone_number": "805-737-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWON",
"first_name": "CEDRIC",
"middle_name": "SEKYONG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "101932875",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A70537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0058550",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.