Individual provider Active NPI

Kong Peng Yap, M.D.

  • Gastroenterology Physician
  • Irvine, CA
National Provider Identifier
1942235288
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A101486 Issued in CA
Practice address
33 Creek Rd
Ste C-380
Irvine, CA 92604-4791
Phone
(949) 825-5198
Fax
(949) 825-5309
NPI assigned
Jul 12, 2006
Last updated
Jan 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 024681 LA
Gastroenterology Physician 207RG0100X A101486 CA Primary

Addresses

Primary practice location

33 Creek Rd
Ste C-380
Irvine, CA 92604-4791

Mailing address

33 Creek Rd
Ste C-380
Irvine, CA 92604-4791
Phone (949) 825-5198

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
I20120718000811 CA Practitioner - Internal MedicinePractitioner - Gastroenterology 6709042781 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024681LAMDInternal Medicine Physician
A101486CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KSB Gastroenterology Gastroenterology CurrentSince Nov 7, 2013 Accepting new patients
Irvine Gastroenterology PastSince Mar 18, 2010 Accepting new patients
Orange County Digestive Care Inc Gastroenterology PastSince Jan 29, 2010 Accepting new patients

Locations

33 Creek Rd
Ste 380
Irvine, CA 92604
Phone (949) 517-8669

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1942235288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CREEK RD",
            "address_2": "STE C-380",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044791",
            "telephone_number": "949-825-5198",
            "fax_number": "949-825-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CREEK RD",
            "address_2": "STE C-380",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044791",
            "telephone_number": "949-825-5198",
            "fax_number": "949-825-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAP",
        "first_name": "KONG PENG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "024681",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A101486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.