Individual provider Active NPI

Kaigo K Hwang, M.D.

  • Anesthesiology Physician
  • Santa Maria, CA
National Provider Identifier
1982690962
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A71997 Issued in CA
Practice address
1400 E Church St
Santa Maria, CA 93454-5906
Phone
(805) 739-3759
NPI assigned
Sep 23, 2005
Last updated
Jan 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A71997 CA Primary

Addresses

Primary practice location

1400 E Church St
Santa Maria, CA 93454-5906

Mailing address

937 E Main St
Suite 201
Santa Maria, CA 93454-5323
Phone (805) 739-3759

Other identifiers 1

IdentifierTypeStateIssuer
00A719970MedicaidCA

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
I20040615001713 CA Practitioner - Anesthesiology 0547244758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Wisconsin, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Anesthesiologists of the Central CoastGroup PAC ID 5597665018, 35 clinicians

Practice addresses (Care Compare)

1100 Las Tablas Rd
Templeton, CA 93465-9704
Phone (833) 349-8309

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A71997CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists of the Central Coast Anesthesiology CurrentSince May 1, 2019 Accepting new patients

Locations

24757 Dept La Lockbox
Pasadena, CA 91185

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

1304 Ella St
Ste C
Sn Luis Obisp, CA 93401
Phone (805) 544-7214

1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

1101 Las Tablas Rd
Ste K
Templeton, CA 93465
Phone (805) 434-2009

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.

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1982690962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 E MAIN ST",
            "address_2": "SUITE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545323",
            "telephone_number": "805-739-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E CHURCH ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545906",
            "telephone_number": "805-739-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "KAIGO",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A71997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A719970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.