Individual provider Active NPI

Kin Man Pang, M.D.

  • Obstetrics & Gynecology Physician
  • Tulare, CA
National Provider Identifier
1992867964
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G65767 Issued in CA
Practice address
1134 E Cartmill Ave
Tulare, CA 93274-9610
Phone
(559) 786-4993
Fax
(559) 685-4635
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G065767 CA
Obstetrics & Gynecology Physician 207V00000X G65767 CA Primary

Addresses

Primary practice location

1134 E Cartmill Ave
Tulare, CA 93274-9610

Mailing address

1134 E Cartmill Ave
Tulare, CA 93274-9610
Phone (559) 686-9097

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
I20060217000699 CA Practitioner - Obstetrics/Gynecology 7012922693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rush Medical College of Rush University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altura Centers for HealthGroup PAC ID 9830103449, 26 clinicians

Practice addresses (Care Compare)

1101 N Cherry St
Tulare, CA 93274-2231
Phone (559) 686-9097

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G065767CAMDObstetrics & Gynecology Physician
G65767CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altura Centers for Health Current Accepting new patients
Altura Centers for Health CurrentSince Apr 13, 2008 Accepting new patients
Altura Centers for Health CurrentSince Apr 13, 2008 Accepting new patients
Adventist Health Tulare Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

1134 E Cartmill Ave
Ste B
Tulare, CA 93274

1134 E Cartmill Ave
Tulare, CA 93274
Phone (559) 686-9097

1101 N Cherry St
Tulare, CA 93274
Phone (559) 686-9097

1201 N Cherry St
Tulare, CA 93274
Phone (559) 685-4622

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: andy.pang.p1@direct.altura.nextgenshare.com

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.

Hospital & facility affiliations 1

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1992867964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 E CARTMILL AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932749610",
            "telephone_number": "559-686-9097",
            "fax_number": "559-685-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 E CARTMILL AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932749610",
            "telephone_number": "559-786-4993",
            "fax_number": "559-685-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANG",
        "first_name": "KIN",
        "middle_name": "MAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G065767",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G65767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.