Active NPI
Seth A Kogan, M.D.
- Specialist
- Long Beach, CA
National Provider Identifier
1780652040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G49334
- Practice address
- 790 E Willow St
Long Beach, CA 90806-2735 - Phone
- (562) 595-4014
- Fax
- (562) 595-7262
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G49334 | CA | Primary |
Addresses
Primary practice location
790 E Willow St
Long Beach, CA 90806-2735
Mailing address
790 E Willow St
Long Beach, CA 90806-2735
Phone (562) 595-4014
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040922001273 | CA | Practitioner - Obstetrics/Gynecology | 7618945072 | Practice locations: Long Beach, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G49334 | CA | MD | Specialist |
| 49334 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1780652040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 E WILLOW ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062735",
"telephone_number": "562-595-4014",
"fax_number": "562-595-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 E WILLOW ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062735",
"telephone_number": "562-595-4014",
"fax_number": "562-595-7262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOGAN",
"first_name": "SETH",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G49334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.