Individual provider Active NPI

Dana Bae Kang, MD

  • Specialist
  • Arcadia, CA
National Provider Identifier
1982803813
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A97267 Issued in CA
Practice address
100 N Santa Anita Ave
Arcadia, CA 91006-3108
Phone
(626) 821-5998
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A97267 CA Primary

Addresses

Primary practice location

100 N Santa Anita Ave
Arcadia, CA 91006-3108

Mailing address

100 N Santa Anita Ave
Arcadia, CA 91006-3108
Phone (626) 821-5998

Other names 1

  • Dana Kim Bae Former name

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
I20091013000149 CA Practitioner - Dermatology 7517003171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Francisco School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin and Beauty Center IncGroup PAC ID 8628170347, 34 clinicians

Practice addresses (Care Compare)

1818 Verdugo Blvd
Suite 304
Glendale, CA 91208-1444
Phone (818) 790-3588

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions788
Removal of skin cancer1-10
Skin biopsy149

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Beauty Center Inc CurrentSince Feb 14, 2018 Accepting new patients
Skin and Beauty Center (SBC), Inc. CurrentSince Feb 14, 2018 Accepting new patients
Northridge Dermatology Associates Medical Group Inc Current Accepting new patients
Cardiology Associates Medical Group Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients

Locations

191 S Buena Vista St
Ste 475
Burbank, CA 91505
Phone (818) 322-0126

1577 E Chevy Chase Dr
Glendale, CA 91206
Phone (818) 246-4936

1577 E Chevy Chase Dr
Ste 320
Glendale, CA 91206
Phone (818) 246-4936

1818 Verdugo Blvd
Ste 304
Glendale, CA 91208
Phone (818) 790-3588

9535 Reseda Blvd
Northridge, CA 91324
Phone (818) 701-9900

9535 Reseda Blvd
Ste 304
Northridge, CA 91324
Phone (818) 886-3884

301 S Fair Oaks Ave
Ste 302
Pasadena, CA 91105
Phone (626) 792-2378

23501 Cinema Dr
Ste 111
Valencia, CA 91355
Phone (661) 258-3811

7345 Medical Center Dr
Ste 310
West Hills, CA 91307
Phone (818) 884-8044

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dkang@dcm-ca.emadirect.md

Organizations & group practices 5

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1982803813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N SANTA ANITA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063108",
            "telephone_number": "626-821-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N SANTA ANITA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063108",
            "telephone_number": "626-821-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "DANA",
        "middle_name": "BAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A97267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "BAE",
            "middle_name": "KIM",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.