Individual provider Active NPI

Ralph Kuon, M.D

  • Primary Care Clinic/Center
  • Whittier, CA
National Provider Identifier
1780045898
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A39928 Issued in CA
Practice address
5654 Pickering Ave
Whittier, CA 90601-2414
Phone
(562) 845-8384
NPI assigned
Mar 16, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A39928 CA Primary

Addresses

Primary practice location

5654 Pickering Ave
Whittier, CA 90601-2414

Mailing address

5654 Pickering Ave
Whittier, CA 90601-2414
Phone (562) 945-9384

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
I20210121001923 CA Practitioner - Internal Medicine 5991119570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5036 Passons Blvd
Suite 2
Pico Rivera, CA 90660-2864
Phone (562) 654-2800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A39928CAMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Elena Medical Center, Inc. General Practice CurrentSince Feb 1, 2021 Accepting new patients

Locations

5036 Passons Blvd
Ste 2
Pico Rivera, CA 90660
Phone (562) 654-2800

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.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1780045898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5654 PICKERING AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906012414",
            "telephone_number": "562-945-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5654 PICKERING AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906012414",
            "telephone_number": "562-845-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUON",
        "first_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A39928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.