HYUN KANG (NPI# 1316917883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316917883 |
| Entity Type | Individual |
| Full Name | HYUN KANG |
| Credential | MD |
| Practice Address |
1165 Montgomery Dr Santa Rosa CA 95405-4801 |
| Practice Telephone | 7075475437 |
| Practice Fax Number | 7075475430 |
| Mailing Telephone | 7075475437 |
| Mailing Fax Number | 7075475430 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2013-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
C54908 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
4301082719 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | CA2184 | 01 |
| MI | 45S8848 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154854511 | Hyun Kang | Social Worker | 320 W Temple St Ste 1500, Los Angeles, CA 90012-3214 | 2017-04-04 |
| 1487153722 | Hyun Hee Kang | Social Worker | 24302 Northern Blvd, Douglaston, NY 11362-1150 | 2018-02-01 |
| 1184046195 | Hyun K Kang | Podiatrist | 12828 Harbor Blvd, Suite 320, Garden Grove, CA 92844-5834 | 2014-01-09 |
| Street Address |
1165 MONTGOMERY DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149749 | Rudy Y Santos | Internal Medicine | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2005-07-28 |
| 1376144543 | Brandi Marie Peroney | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4897 | 2020-11-04 |
| 1366067449 | Susann Mischke | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2020-06-14 |
| 1750916433 | Cassondra Yvette Hawkins | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2020-03-03 |
| 1780226001 | Christian Michael Weeber | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-10-09 |
| 1952953093 | Renee Mckenna | Dietitian, Registered | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-07-09 |
| 1023675303 | Saad Sultan | Pharmacist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-05-22 |
| 1013470640 | Sonoe M Oft | Occupational Therapist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-04-10 |
| 1184181281 | Andrew Sonu Kim | Physical Therapist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-02-25 |
| 1073098000 | Samantha Ashley Stewart | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2018-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891896163 | Kenneth Cecil Lamb | Internal Medicine | 122 Calistoga Rd # 399, Santa Rosa, CA 95409-3702 | 2006-09-26 |
| 1548298060 | James Marco Steele | Internal Medicine | 3867 Montgomery Dr, Santa Rosa, CA 95405-5244 | 2006-06-30 |
| 1588690051 | Daniel I Loube | Internal Medicine | 3622 Orbetello Ct., Santa Rosa, CA 95404 | 2006-06-24 |
| 1528021490 | Vu Anh Tran | Internal Medicine | 4710 Hoen Ave # B, Santa Rosa, CA 95405-7887 | 2006-04-10 |
| 1427052851 | Vadim Leyenson | Internal Medicine | 95 Montgomery Dr Ste 104, Santa Rosa, CA 95404-6617 | 2005-06-13 |
| 1952603177 | Northern California Medical Assoc Inc | Internal Medicine | 3867 Montgomery Dr, Santa Rosa, CA 95405-5244 | 2010-11-19 |
| 1912081902 | Monica Minguillon | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
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|---|---|---|---|---|
| 1386245082 | Oc Pulmonary & Sleep, Inc | Internal Medicine | 14642 Newport Ave #101, Irvine, CA 92780-6058 | 2020-11-08 |
| 1295332633 | Compassionate Critical Care Group, Inc. | Internal Medicine | 22543 Ventura Blvd Ste 220, Woodland Hills, CA 91364-1403 | 2020-10-08 |
| 1972149748 | Bay Area Neurointensivists Inc | Internal Medicine | 3066 Deer Meadow Dr, Danville, CA 94506-2135 | 2019-11-26 |
| 1356903298 | Benjamin R Deaton Md Inc. | Internal Medicine | 7468 Muirwood Ct, Pleasanton, CA 94588-4232 | 2019-07-01 |
| 1851950232 | Riverside Medical Clinic Inc | Internal Medicine | 4100 Central Ave Ste 201, Riverside, CA 92506-2930 | 2019-06-10 |
| 1407414329 | Riverside Medical Clinic Inc | Internal Medicine | 2079 Compton Ave Ste A101, Corona, CA 92881-7284 | 2019-06-05 |
| 1144718875 | Jeffrey Tobias | Internal Medicine | 10 Lavender Ter, Petaluma, CA 94952-4938 | 2018-04-27 |
| 1780187229 | Jesse Robles | Internal Medicine | 651 Sunnyside Ave, San Diego, CA 92114-4945 | 2018-03-12 |
| 1710403183 | Excelcare | Internal Medicine | 2400 Chester Ave, Bakersfield, CA 93301-4020 | 2017-08-17 |
| 1255865549 | Liou Medical Inc | Internal Medicine | 17310 Evening Star Ave, Cerritos, CA 90703-8318 | 2017-04-13 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.