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

Q: 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.

Q: What is Mina Kang's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mina Kang was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: October 18, 2026.

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

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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

Phone(310) 453-1324

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Mina Kang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Saint Johns Medical Foundation

Same address

Specialist

2121 SANTA MONICA BLVD
Santa Monica, CA 90404

Reassigned Medicare billing, California enrollment
461 clinicians in this Medicare group

NPI 1770093734 (310) 582-7312

Providence Facey Medical Foundation

27 mi

Internal Medicine

26357 MCBEAN PKWY
Valencia, CA 91355

Reassigned Medicare billing, California enrollment
684 clinicians in this Medicare group

NPI 1710031588 (661) 222-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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