Everett K. Kang, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A119364 Issued in CA

Practice address

5500 University Parkway
Csusb Student Health Center
San Bernardino, CA 92407-2397

Phone

(909) 537-5241

NPI assigned

Apr 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Ohio State University College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mommy and Me Medical Group IncGroup PAC ID 0244383727, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: everett.kang.p2@direct.mpmccorp.nextgenshare.com
• Direct secure messaging: everett.kang.p6@direct.mpmccorp.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Mommy and Me Medical Group, Inc.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1730258765
  Medicare reassignment Care Compare group NPD
• Valenzuela Medical Group I, Inc.

  • Family Medicine Physician
  • Moreno Valley, CA
  • NPI 1952485641
  Medicare reassignment NPD
• Reuben C Castillo, Professional Corporation

  • General Practice Physician
  • Perris, CA
  • NPI 1942429188
  NPD (past)

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1750608774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 UNIVERSITY PARKWAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072397",
            "telephone_number": "909-537-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 UNIVERSITY PARKWAY",
            "address_2": "CSUSB STUDENT HEALTH CENTER",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072397",
            "telephone_number": "909-537-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "EVERETT",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A119364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpha Rang Kamara-Kay
• Hitesh Suresh Kamble
• Kamil Muhyieddeen, MD, Inc.
• Nair Kamo, ACSW
• Mohammad S Kanakriyeh, MD
• Ho Sil Kang, R.D.
• Loukas Kang
• Simon Kaniu
• Tapeesh Kansal, MD
• Kelly Monique Kaplan

• Family Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.

Verify at the official NPI Registry.