Individual provider Active NPI

Sungwon Rachel Kyung, M.D.

  • Hematology & Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1831501840
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
142183 Issued in CA
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

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200714000756 CA Practitioner - Hematology/Oncology 4183047830 Reassigns benefits to 1 organization

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
Los Angeles Hematology-Oncology Medical GroupGroup PAC ID 6608819594, 51 clinicians

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 Hospital, Glendale, CA, CCN 050239
  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471
  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063
  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142183CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles Hematology-Oncology Medical Group Hematology & Oncology CurrentSince Aug 31, 2020 Accepting new patients
Los Angeles Hematology-Oncology Medical Group Hematology & Oncology CurrentSince Aug 31, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.