Active NPI
Kenneth Cesar Payan, M.D., M.P.H.
- Family Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A140492
- Practice address
- 1670 E 120TH St
Los Angeles, CA 90059-3026 - Phone
- (424) 338-2726
- NPI assigned
- May 19, 2014
- Last updated
- Dec 3, 2024
- 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 | A140492 | CA | Primary |
Addresses
Primary practice location
1670 E 120TH St
Los Angeles, CA 90059-3026
Mailing address
14714 Benfield Ave
Norwalk, CA 90650-5609
Phone (562) 556-1102
Other practice location 1
2600 Redondo Ave
Long Beach, CA 90806-2325
Phone (562) 988-7340
Other practice location 2
995 Potrero Ave
Bldg 80, WD 83
San Francisco, CA 94110-2859
Phone (415) 206-8611
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, San Francisco School of Medicine, 2014
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1670 E 120TH St
Los Angeles, CA 90059-3026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A140492 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| City and County of San Francisco | Current | Accepting new patients | |
| City & County of San Francisco | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Family Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| City & County of San Francisco | Current | Accepting new patients |
Locations
1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000
601 Torrance Blvd
Redondo Beach, CA 90277
Phone (310) 316-0811
3850 17th St
San Francisco, CA 94114
Phone (415) 487-7500
Organizations & group practices 8
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.
-
dba San Francisco Public Health Laboratory
- Clinical Medical Laboratory
- San Francisco, CA
- NPI 1982737524
-
dba Martin Luther King, Jr. Outpatient Center
- Clinic/Center
- Los Angeles, CA
- NPI 1780877613
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Family Medicine
-
dba CCSF DPH Multi - Practice Medical Group
- Community Health/Public Health Clinical Nurse Specialist
- San Francisco, CA
- NPI 1609041060
-
dba DSAAM OTOP Methadone Maintenance
- Methadone Clinic
- San Francisco, CA
- NPI 1578787925
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
dba Optum
- Addiction Medicine (Internal Medicine) Physician
- Tustin, CA
- NPI 1891981502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1821409210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14714 BENFIELD AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "906505609",
"telephone_number": "562-556-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 E 120TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593026",
"telephone_number": "424-338-2726"
}
],
"practiceLocations": [
{
"address_1": "2600 Redondo Ave",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908062325",
"country_code": "US",
"telephone_number": "562-988-7340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "995 Potrero Ave",
"address_2": "Bldg 80, WD 83",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941102859",
"country_code": "US",
"telephone_number": "415-206-8611",
"fax_number": "415-206-8387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYAN",
"first_name": "KENNETH",
"middle_name": "CESAR",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-19",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A140492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.