Individual provider Active NPI

Jimmy J Kang, M.D.

  • Diagnostic Radiology Physician
  • Pasadena, CA
National Provider Identifier
1811164577
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A112923 Issued in CA
Practice address
100 W California Blvd
Pasadena, CA 91105-3010
Phone
(626) 397-5139
NPI assigned
May 13, 2008
Last updated
Jul 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A112923 CA Primary

Addresses

Primary practice location

100 W California Blvd
Pasadena, CA 91105-3010

Mailing address

223 N 1St Ave
Suite #201
Arcadia, CA 91006-7027
Phone (626) 821-1411

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
I20100907000832 CA Practitioner - Diagnostic Radiology 6103999495 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Physicians and Surgeons, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiant Imaging IncGroup PAC ID 7113145558, 65 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 397-5139

130 W Route 66
Suite 110
Glendora, CA 91740-6250
Phone (626) 914-3384

289 W Huntington Dr
Suite 104
Arcadia, CA 91007-3495
Phone (626) 821-0707

625 S Fair Oaks Ave
Suite 180
Pasadena, CA 91105-2643
Phone (626) 229-8969

751 Cordova St
Pasadena, CA 91101-2617
Phone (626) 229-8969

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
86
Improvement activities
40
Cost
77.8

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Hill Medical Corporation Diagnostic Radiology CurrentSince Aug 1, 2010 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Mar 30, 2024 Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
The Hill Medical Corporation Diagnostic Radiology CurrentSince Aug 1, 2010 Accepting new patients
City of Hope Medical Foundation CurrentSince Sep 7, 2011 Accepting new patients
California Cancer Specialists Medical Group Inc Past Accepting new patients

Locations

223 N 1st Ave
Ste 201
Arcadia, CA 91006
Phone (626) 821-1411

289 W Huntington Dr
Ste 104
Arcadia, CA 91007
Phone (626) 821-0707

301 W Huntington Dr
Ste 617
Arcadia, CA 91007
Phone (626) 247-2250

9900 Talbert Ave
Ste 102
Fountain Valley, CA 92708
Phone (714) 378-7000

130 W Route 66
Ste 110
Glendora, CA 91740
Phone (818) 914-3384

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

2627 E Washington Blvd
Pasadena, CA 91107
Phone (626) 463-0135

625 S Fair Oaks Ave
Ste 140
Pasadena, CA 91105
Phone (626) 698-7240

625 S Fair Oaks Ave
Ste 180
Pasadena, CA 91105
Phone (626) 229-8969

625 S Fair Oaks Ave
Ste 325
Pasadena, CA 91105
Phone (626) 229-8969

65 N Madison Ave
Lowr
Pasadena, CA 91101
Phone (626) 793-8189

751 Cordova St
Pasadena, CA 91101
Phone (626) 229-8969

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

23861 McBean Pkwy
Ste B14
Valencia, CA 91355
Phone (661) 799-1999

1509 W Cameron Ave
Ste D100
West Covina, CA 91790
Phone (626) 698-7266

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1811164577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N 1ST AVE",
            "address_2": "SUITE #201",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067027",
            "telephone_number": "626-821-1411",
            "fax_number": "626-447-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053010",
            "telephone_number": "626-397-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "JIMMY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A112923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.