Individual provider Active NPI

Kenton E Kagy, D.O.

  • Diagnostic Radiology Physician
  • Rancho Mission Viejo, CA
National Provider Identifier
1821362740
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20A15777 Issued in CA
Practice address
28881 Airoso St
Rancho Mission Viejo, CA 92694-2486
Phone
(949) 682-2600
NPI assigned
Feb 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20A15777 CA Primary
Diagnostic Radiology Physician 2085R0202X 308951 LA
Diagnostic Radiology Physician 2085R0202X DO2248 NV

Addresses

Primary practice location

28881 Airoso St
Rancho Mission Viejo, CA 92694-2486

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-5138

Other practice location 1

757 Westwood Plz
Los Angeles, CA 90095-4608
Phone (310) 301-6800

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
I20210322002117 CA Practitioner - Diagnostic Radiology 5698020444 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moran Rowen and Dorsey IncGroup PAC ID 9537063375, 35 clinicians

Practice addresses (Care Compare)

1031 W Chapman Ave
101 Imaging Partners of Orange County
Orange, CA 92868-2872
Phone (714) 997-4762

Hospital & facility affiliations

  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

Merit-based Incentive Payment System (MIPS)

Final score
84.56 of 100Reported as group
Quality
85.63
Improvement activities
40
Cost
74.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15777CAMDClinical Social Worker
20A15777CAMDDiagnostic Radiology Physician
308951LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moran Rowen and Dorsey Inc Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
County of Los Angeles CurrentSince Mar 4, 2021 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Mar 4, 2021 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 2, 2021 Accepting new patients
Martin Luther King Jr Community Medical Foundation Family Medicine Current Accepting new patients
North Oc Imaging JV, LLC CurrentSince Dec 6, 2022 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 2, 2021 Accepting new patients
County of Los Angeles Current Accepting new patients
The Mercy Hospital Inc Past Accepting new patients
Sutter Coast Hospital Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

781 S Weir Canyon Rd
Ste 185
Anaheim, CA 92808
Phone (714) 282-8160

947 S Anaheim Blvd
Ste 125
Anaheim, CA 92805
Phone (714) 241-7000

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

12942 Harbor Blvd
Garden Grove, CA 92840
Phone (714) 618-9540

13400 Jamboree Rd
Irvine, CA 92602
Phone (714) 263-9279

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

26732 Crown Valley Pkwy
Ste 171
Mission Viejo, CA 92691
Phone (714) 364-3484

2501 E Chapman Ave
Orange, CA 92869
Phone (714) 628-3300

1031 W Chapman Ave
Ste 101
Orange, CA 92868
Phone (714) 771-8171

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

1010 W La Veta Ave
Ste 400
Orange, CA 92868
Phone (714) 734-6282

2212 E 4th St
Santa Ana, CA 92705
Phone (714) 288-3230

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

1095 Irvine Blvd
Tustin, CA 92780
Phone (714) 505-7110

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1821362740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28881 AIROSO ST",
            "city": "RANCHO MISSION VIEJO",
            "state": "CA",
            "postal_code": "926942486",
            "telephone_number": "949-682-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 Westwood Plz",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900954608",
            "country_code": "US",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAGY",
        "first_name": "KENTON",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-24",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A15777",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "308951",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "DO2248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.