Individual provider Active NPI

Kenneth Cesar Payan, M.D., M.P.H.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1821409210
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A140492 Issued in CA
Practice address
1670 E 120TH St
Los Angeles, CA 90059-3026
Phone
(424) 338-2726
NPI assigned
May 19, 2014
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170825001888 CA Practitioner - Family Practice 2769762574 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
A140492CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Dec 9, 2024 Accepting new patients
City and County of San Francisco CurrentSince Aug 1, 2017 Accepting new patients
City & County of San Francisco CurrentSince Aug 1, 2017 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 16, 2020 Accepting new patients
County of Los Angeles CurrentSince Dec 9, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 16, 2020 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.

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

Verify at the official NPI Registry.