Active NPI
Joon Kang, MD
- Family Medicine Physician
- Rowland Heights, CA
National Provider Identifier
1811083165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A40469
- Practice address
- 18391 E Colima Rd
# 201
Rowland Heights, CA 91748 - Phone
- (626) 912-2911
- Fax
- (626) 810-5232
- NPI assigned
- Oct 5, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A40469 | CA | Primary |
Addresses
Primary practice location
18391 E Colima Rd
# 201
Rowland Heights, CA 91748
Mailing address
18391 E Colima Rd
# 201
Rowland Heights, CA 91748
Phone (626) 912-2911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40469 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SJ Byeon Medical Corp | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Rowland Heights, CA
- NPI 1942551718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811083165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18391 E COLIMA RD",
"address_2": "# 201",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "91748",
"telephone_number": "626-912-2911",
"fax_number": "626-810-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18391 E COLIMA RD",
"address_2": "# 201",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "91748",
"telephone_number": "626-912-2911",
"fax_number": "626-810-5232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "JOON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A40469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rowland Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.