Active NPI
Edward Kwon
- Surgical Critical Care Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- A120642
- Practice address
- 2051 Marengo Street
Ipi, C52100
Los Angeles, CA 90033-1029 - Phone
- (323) 409-7761
- Fax
- (323) 441-9909
- NPI assigned
- Mar 25, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | A120642 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2051 Marengo Street
Ipi, C52100
Los Angeles, CA 90033-1029
Mailing address
510S Hewitt St 406
Los Angeles, CA 90013-1659
Phone (646) 702-7609
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Tulane University School of Medicine, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 397-5112
3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (310) 900-8900
Hospital & facility affiliations
- Huntington Hospital
- Saint Francis Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.52 of 100
- Quality
- 97.68
- Improvement activities
- 40
- Cost
- 62.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13574 | NV | MD | Nutrition Support Pharmacist |
| A120642 | CA | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Trauma Surgeons, Inc. | Surgical Critical Care | Current | Accepting new patients |
| Edward Kwon MD Inc | Current | Accepting new patients |
Locations
3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420
35 E Glenarm St
Pasadena, CA 91105
Phone (626) 768-4415
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
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 and National Provider Directory roles.
-
- Surgical Critical Care Physician
- Lynwood, CA
- NPI 1144225426
-
- Trauma Surgery Physician
- Pasadena, CA
- NPI 1134505316
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
-
- General Acute Care Hospital
- Lynwood, CA
- NPI 1114547114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1992029599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510S HEWITT ST 406",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131659",
"telephone_number": "646-702-7609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 MARENGO STREET",
"address_2": "IPI, C52100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "323-409-7761",
"fax_number": "323-441-9909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWON",
"first_name": "EDWARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-25",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "CA",
"license": "A120642",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.