Individual provider Active NPI

Thomas Tae Hyuk Kang, M.D.

  • Family Medicine Physician
  • Palo Alto, CA
National Provider Identifier
1982879987
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A97505 Issued in CA
Practice address
2515 El Camino Real Ste 201
Palo Alto, CA 94306-1776
Phone
(888) 663-6331
NPI assigned
Apr 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A97505 CA Primary

Addresses

Primary practice location

2515 El Camino Real Ste 201
Palo Alto, CA 94306-1776

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

1900 E 4th St
Santa Ana, CA 92705-3910
Phone (714) 967-4766

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
I20100303000494 CA Practitioner - Family PracticePractitioner - Emergency Medicine 1951446848 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Irvine, California College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

590 Forest Ave
Palo Alto, CA 94301-2611
Phone (650) 288-4080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A97505CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Sep 25, 2018 Accepting new patients
County of Santa Clara CurrentSince Mar 4, 2020 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Oct 1, 2016 Accepting new patients
County of Santa Clara CurrentSince Mar 4, 2020 Accepting new patients
One Medical Group, Inc Family Medicine CurrentSince Mar 11, 2024 Accepting new patients
One Medical Group, Inc. Family Medicine CurrentSince Mar 11, 2024 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Oct 1, 2016 Accepting new patients
County of Santa Clara Family Medicine CurrentSince Sep 25, 2018 Accepting new patients
County of Santa Clara Current Accepting new patients
Bristol Park Medical Group, Inc Family Medicine Past Accepting new patients
Sand Canyon Medical Group PastSince Jan 1, 2008 Accepting new patients
Riverside Medical Group PC Past Accepting new patients
University of California San Francisco Past Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients

Locations

9500 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 836-5004

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

2515 El Camino Real
Ste 201
Palo Alto, CA 94306

590 Forest Ave
Palo Alto, CA 94301
Phone (650) 288-4080

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

2131 Irving St
San Francisco, CA 94122
Phone (415) 231-2546

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tkang384709@hisp.ehr.sutterhealth.org
  • Direct secure messaging: thomas.kang@49412312072196.direct.elationemr.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1982879987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 EL CAMINO REAL STE 201",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061776",
            "telephone_number": "888-663-6331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053910",
            "country_code": "US",
            "telephone_number": "714-967-4766",
            "fax_number": "562-404-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "THOMAS",
        "middle_name": "TAE HYUK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A97505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.