Individual provider Active NPI

Sojeong Kang

  • Licensed Practical Nurse
  • Torrance, CA
National Provider Identifier
1730579640
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
95001032 Issued in CA
Practice address
1000 W Carson St
Torrance, CA 90502-2059
Phone
(424) 306-4110
NPI assigned
Jan 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 95001032 CA Primary

Addresses

Primary practice location

1000 W Carson St
Torrance, CA 90502-2059

Mailing address

1000 W Carson St
Torrance, CA 90502-2059
Phone (424) 306-4110

Other practice location 1

15301 S San Jose Ave
Compton, CA 90221-3131
Phone (323) 541-1411

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319002735 CA Practitioner - Nurse Practitioner 3971846742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John's Community HealthGroup PAC ID 2961482690, 151 clinicians

Practice addresses (Care Compare)

1910 Magnolia Ave
Suite 101
Los Angeles, CA 90007-1220
Phone (213) 749-0947

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Feb 4, 2024 Accepting new patients
County of Los Angeles Current Accepting new patients
St. Johns Community Health CurrentSince Feb 4, 2024 Accepting new patients
County of Los Angeles CurrentSince Jan 26, 2025 Accepting new patients
County of Los Angeles CurrentSince Jan 26, 2025 Accepting new patients
St. Johns Community Health Current Accepting new patients
County of Los Angeles Current Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

15301 S San Jose Ave
Compton, CA 90221
Phone (562) 630-6825

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

1333 Chestnut Ave
Long Beach, CA 90813
Phone (562) 599-8601

1910 Magnolia Ave
Ste 101
Los Angeles, CA 90007

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Interoperability endpoints

  • Direct secure messaging: sojeong.kang@sjch.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

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": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1730579640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022059",
            "telephone_number": "424-306-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022059",
            "telephone_number": "424-306-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15301 S San Jose Ave",
            "address_purpose": "LOCATION",
            "city": "Compton",
            "state": "CA",
            "postal_code": "902213131",
            "country_code": "US",
            "telephone_number": "323-541-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "SOJEONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2024-05-06",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "95001032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.