Individual provider Active NPI

Nicolas Alexander Kang, MD

  • Internal Medicine Physician
  • Long Beach, CA
National Provider Identifier
1851971576
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A200326 Issued in CA
Practice address
2880 Atlantic Ave Ste 230
Long Beach, CA 90806-1735
Phone
(562) 492-9900
Fax
(562) 492-9902
NPI assigned
Apr 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A200326 CA Primary

Addresses

Primary practice location

2880 Atlantic Ave Ste 230
Long Beach, CA 90806-1735

Mailing address

2880 Atlantic Ave Ste 110
Long Beach, CA 90806-1739
Phone (562) 492-9900

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
I20260313003894 CA Practitioner - Internal Medicine 1850874108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2880 Atlantic Ave
Suite 230
Long Beach, CA 90806-1735

2880 Atlantic Ave
Suite 230
Long Beach, CA 90806-1754

PO Box
Suite 372
Winter Haven, FL 33882

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A200326CAMDInternal Medicine Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1851971576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 ATLANTIC AVE STE 110",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061739",
            "telephone_number": "562-492-9900",
            "fax_number": "562-492-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 ATLANTIC AVE STE 230",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061735",
            "telephone_number": "562-492-9900",
            "fax_number": "562-492-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "NICOLAS",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A200326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.