Individual provider Active NPI

Heajin Hwang Kamalani, MD

  • Obstetrics & Gynecology Physician
  • Soquel, CA
National Provider Identifier
1932260619
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A72751 Issued in CA
Practice address
5161 Soquel Dr Ste C
Soquel, CA 95073-2560
Phone
(831) 239-5866
Fax
(831) 201-1281
NPI assigned
Dec 13, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A72751 CA Primary

Addresses

Primary practice location

5161 Soquel Dr Ste C
Soquel, CA 95073-2560

Mailing address

5161 Soquel Dr
Soquel, CA 95073-2560
Phone (831) 239-5866

Other practice location 1

243 El Dorado St
Monterey, CA 93940-2914
Phone (831) 375-1501

Other identifiers 1

IdentifierTypeStateIssuer
00G358690MedicaidCA

Other names 1

  • Heajin Hwang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72751CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
OB GYN Associates of the Central Coast Obstetrics & Gynecology Past Accepting new patients
Harbor Medical Group Inc Obstetrics & Gynecology PastSince Aug 1, 2005 Accepting new patients

Organizations & group practices 2

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1932260619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 SOQUEL DR",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732560",
            "telephone_number": "831-239-5866",
            "fax_number": "831-201-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 SOQUEL DR STE C",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732560",
            "telephone_number": "831-239-5866",
            "fax_number": "831-201-1281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 El Dorado St",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939402914",
            "country_code": "US",
            "telephone_number": "831-375-1501",
            "fax_number": "831-375-8924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMALANI",
        "first_name": "HEAJIN",
        "middle_name": "HWANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-03-07",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A72751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G358690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEAJIN",
            "last_name": "HWANG",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Soquel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.