Active NPI
Sungwon Rachel Kyung, M.D.
- Hematology & Oncology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 142183
- Practice address
- 1245 Wilshire Blvd Ste 303
Los Angeles, CA 90017-4803 - Phone
- (213) 977-1214
- Fax
- (213) 482-8868
- NPI assigned
- May 24, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 142183 | CA | Primary |
Addresses
Primary practice location
1245 Wilshire Blvd Ste 303
Los Angeles, CA 90017-4803
Mailing address
541 W Colorado St Ste 205
Glendale, CA 91204-3640
Phone (323) 254-0046
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
- Hematology/Oncology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1245 Wilshire Blvd
Suite 303
Los Angeles, CA 90017-4803
Phone (213) 977-1214
Hospital & facility affiliations
- Glendale Adventist Medical Center
- Pih Health Good Samaritan Hospital
- Hollywood Presbyterian Medical Center
- Pih Health Downey Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142183 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles Hematology-Oncology Medical Group | Hematology & Oncology | Current | Accepting new patients |
| Los Angeles Hematology-Oncology Medical Group | Hematology & Oncology | Current | Accepting new patients |
| Good Samaritan Hospital Ca LTD PTP | Past | Accepting new patients | |
| Cha Hollywood Medical Center, LP | Past | Accepting new patients | |
| Glendale Adventist Medical Center | Past | Accepting new patients | |
| Los Angeles Cardiology Associates | Past | Accepting new patients | |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients |
Locations
1801 W Romneya Dr
Ste 203
Anaheim, CA 92801
Phone (714) 999-1465
3808 W Riverside Dr
Ste 302
Burbank, CA 91505
Phone (323) 254-0046
541 W Colorado St
Ste 205
Glendale, CA 91204
Phone (323) 254-0046
222 W Eulalia St
Ste 100C
Glendale, CA 91204
Phone (818) 553-8160
1505 Wilson Ter
Ste 200
Glendale, CA 91206
Phone (818) 243-0477
1300 N Vermont Ave
Ste 903
Los Angeles, CA 90027
Phone (213) 570-8404
2080 Century Park E
Ste 1005
Los Angeles, CA 90067
Phone (310) 229-3535
1245 Wilshire Blvd
Ste 303
Los Angeles, CA 90017
Phone (213) 977-1214
11550 Indian Hills Rd
Ste 211
Mission Hills, CA 91345
Phone (323) 410-9827
433 N 4th St
Ste 207
Montebello, CA 90640
Phone (323) 721-1388
50 Alessandro Pl
Ste 310
Pasadena, CA 91105
Phone (626) 288-0008
23441 Madison St
Ste 215
Torrance, CA 90505
Phone (310) 791-5577
15211 Vanowen St
Ste 300
Van Nuys, CA 91405
Phone (818) 782-4104
15211 Vanowen St
Ste 201
Van Nuys, CA 91405
Phone (818) 574-3798
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- skyung767610@direct.memorialcare.org
Organizations & group practices 7
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.
-
- Specialist
- Los Angeles, CA
- NPI 1457409674
Hematology & Oncology
-
- Non-Pharmacy Dispensing Site
- Glendale, CA
- NPI 1952516627
Hematology & Oncology
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1205852209
-
- Specialist
- Lancaster, CA
- NPI 1164471868
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
-
- General Acute Care Hospital
- Downey, CA
- NPI 1265433551
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593648000000",
"number": "1831501840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 W COLORADO ST STE 205",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912043640",
"telephone_number": "323-254-0046",
"fax_number": "323-488-9782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD STE 303",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174803",
"telephone_number": "213-977-1214",
"fax_number": "213-482-8868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYUNG",
"first_name": "SUNGWON",
"middle_name": "RACHEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-24",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "142183",
"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 Jul 2, 2020; 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.