Individual provider Active NPI

Young M Kang, MD

  • Specialist
  • Pleasanton, CA
National Provider Identifier
1720050529
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A86475 Issued in CA
Practice address
5933 Coronado Lane Ste 101
Pleasanton, CA 94588-8599
Phone
(925) 468-0404
Fax
(925) 468-0446
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A86475 CA Primary

Addresses

Primary practice location

5933 Coronado Lane Ste 101
Pleasanton, CA 94588-8599

Mailing address

5933 Coronado Lane Ste 101
Pleasanton, CA 94588-9458
Phone (925) 468-0404

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
I20050817000500 CA Practitioner - Urology 4385674563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Rochester School of Medicine and Dentistry, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1144 Norman Dr
Suite 202
Manteca, CA 95336-5960
Phone (209) 825-9787

5933 Coronado Lane
Suite 101
Pleasanton, CA 94588-8599

5933 Coronado LN
Suite 101
Pleasanton, CA 94588-8597

Hospital & facility affiliations

  • Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488
  • Washington Hospital Hospital, Fremont, CA, CCN 050195
  • Highland Hospital Hospital, Oakland, CA, CCN 050320
  • San Ramon Regional Medical Center Hospital, San Ramon, CA, CCN 050689

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection42
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86475CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
California Urological Associates, Inc Specialist CurrentSince Jul 29, 2005 Accepting new patients
Hsieh Urology, Inc PastSince Jul 20, 2013 Accepting new patients

Locations

1144 Norman Dr
Ste 202
Manteca, CA 95336
Phone (209) 825-9787

5725 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 468-0404

5933 Coronado Ln
Ste 101
Pleasanton, CA 94588
Phone (925) 458-0404

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ykang14274@alamedahs.direct-ci.com
  • Direct secure messaging: ykang111825@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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 7

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1720050529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5933 CORONADO LANE STE 101",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945889458",
            "telephone_number": "925-468-0404",
            "fax_number": "925-468-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 CORONADO LANE STE 101",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888599",
            "telephone_number": "925-468-0404",
            "fax_number": "925-468-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "YOUNG",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A86475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.