MINA RIM KANG MD
NPI 1003045600
Hospitalist in Santa Monica, CA

Active since July 06, 2009PECOS Enrolled
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404(310) 453-1324(424) 212-5921 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 15, 2021, Aug 12, 2020, Jan 9, 2019 (3 updates tracked since 2019).

About Mina Rim Kang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINA RIM KANG MD (NPI 1003045600) is an individual hospitalist provider in Santa Monica, California, licensed in California (A114952) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003045600
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMINA RIM KANGCredential: MD
Location Address2121 SANTA MONICA BLVDSanta Monica, CA 90404-2303
Mailing Address2121 Santa Monica Blvd, Providence St. John's Health CenterSanta Monica, CA 90404-2303 · (310) 829-8858 · Fax (424) 212-5921
Fax(424) 212-5921
Sole ProprietorYes
Enumeration DateJuly 6, 2009
Last NPPES UpdateApril 15, 20213 updates tracked since enumeration
NPPES CertifiedApril 15, 2021
NPI 1003045600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · A114952
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License A114952 (CA)
Also ListedPediatricsTaxonomy 208000000X · License A114952 (CA)
2121 SANTA MONICA BLVD, Santa Monica, CA 90404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mina Rim Kang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$2.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Anesthesiology
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Internal Medicine (Critical Care Medicine)
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Student in an Organized Health Care Education/Training Program
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Physician Assistant
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Hospitalist
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Emergency Medicine
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Surgery
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mina Kang's NPI number?

The NPI number for Mina Kang is 1003045600. It was assigned to this individual provider in the NPPES registry on July 6, 2009.

Where is Mina Kang located?

Mina Kang practices at 2121 Santa Monica Blvd, Santa Monica, CA 90404. The listed phone number is (310) 453-1324.

What is Mina Kang's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mina Kang enrolled in Medicare?

Yes. Mina Kang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mina Kang was last updated on April 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.