Theodore H Kwon, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A35852 Issued in CA

Practice address

9042 Garden Grove Blvd
299
Garden Grove, CA 92844-1370

Phone

(714) 590-0001

Fax

(714) 590-0007

NPI assigned

Jul 14, 2006

Last updated

Nov 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bethesda Medical Center

  • Clinic/Center
  • Anaheim, CA
  • NPI 1164507117

  General Practice

  NPD (past) Authorized official
• Art Physical Therapy

  • Physical Therapy Clinic/Center
  • Rowland Heights, CA
  • NPI 1568662310
  NPD (past)
• Cerritos Physical Therapy & Rehabilitation, Inc.

  • Physical Therapist
  • Cerritos, CA
  • NPI 1821166117
  NPD (past)
• Francisco Badar MD Inc

  dba Core Healthcare Group

  • Family Medicine Physician
  • Cerritos, CA
  • NPI 1962657544
  NPD (past)
• Sungmo Chiropractic Clinic

  dba Sungmo Medical Center

  • Chiropractor
  • Garden Grove, CA
  • NPI 1861680423
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1760408470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1557",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906371557",
            "telephone_number": "213-300-0010",
            "fax_number": "714-590-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9042 GARDEN GROVE BLVD",
            "address_2": "299",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441370",
            "telephone_number": "714-590-0001",
            "fax_number": "714-590-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "THEODORE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A35852",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A35852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOST INSURANCE CO",
            "identifier": "00A358520",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A358520",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOST INSURANCE CO",
            "identifier": "A35852",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riley James Kustes
• Heidi Diane Kutz, BA, MA
• Sang Chae Kwak, P.T.
• Danielle Kwon
• Hyuck Hee Tana Kwon, L.AC
• Jenny Ky
• Kydao,MD,Inc
• Aspen Reann Kyles
• Kayla Leann Kypta
• Kyung Hee Acupuncture Inc.

• General Practice Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.