KT Medical Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KT MEDICAL CARE

Practice address

223 N Garfield Ave Ste 202
Monterey Park, CA 91754-1700

Phone

(949) 414-8338

NPI assigned

Mar 13, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Tai, DONPI 1295359842

Title

Owner

Phone

(949) 414-8338

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Kevin Tai, DO

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1295359842
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1730948712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 FALLINGSTAR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926147504",
            "telephone_number": "646-593-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N GARFIELD AVE STE 202",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541700",
            "telephone_number": "949-414-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KT MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "TAI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-414-8338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher E Koettel, CRNA
• Amanda Ann Kofod, DDS
• Jan Minette Komenkul, MA, CCC-SLP
• Thianthong Kompor, MD
• John Krueger, LCSW
• Connie Yung-Jane Ku, FNP-C
• Marissa Fang Ku, DDS
• Alberto Kubo
• Reiko Kubota, L.AC.
• Jennifer Kao Kuei, M.D.

• Internal Medicine Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.