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SANTA CRUZ MEDICAL CLINIC
NPI 1013199348
Family Medicine in Manassas, VA

Active since November 28, 2007
8703 STONEWALL RD, 2B, MANASSAS, VA 20110(703) 361-1955(703) 361-3277 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Santa Cruz Medical Clinic NPPES

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

SANTA CRUZ MEDICAL CLINIC (NPI 1013199348) is a healthcare organization registered as a family medicine in Manassas, Virginia and active in the NPI registry since November 2007. The organization lists Byong K Kang, Dr., as its authorized official.

NPPES Registry Identity

NPI1013199348
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSANTA CRUZ MEDICAL CLINIC
Location Address8703 STONEWALL RD, 2BManassas, VA 20110-8325
Mailing Address8703 Stonewall Rd, 2bManassas, VA 20110-8325 · (703) 361-1955 · Fax (703) 361-3277
Phone(703) 361-1955
Fax(703) 361-3277
Organization SubpartNo
Authorized OfficialByong K KangDr. · (703) 361-1955
Enumeration DateNovember 28, 2007
Last NPPES UpdateMay 15, 2008
✔ NPI 1013199348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8703 STONEWALL RD, Manassas, VA 20110
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Other Identifiers 1

OtherC08625VA · Medicare Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Santa Cruz Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Santa Cruz Medical Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Byong Kang, M.D.
Family Practice
NPI 1295808137
8703 STONEWALL RD 2-B
Manassas, VA 20110
(703) 361-1955
✔ PECOS✔ Accepts MedicareSame address

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

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 Santa Cruz Medical Clinic's NPI number?

The NPI number for Santa Cruz Medical Clinic is 1013199348. It was assigned to this organization in the NPPES registry on November 28, 2007.

Where is Santa Cruz Medical Clinic located?

Santa Cruz Medical Clinic is located at 8703 Stonewall Rd 2B, Manassas, VA 20110. The listed phone number is (703) 361-1955.

What is Santa Cruz Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Santa Cruz Medical Clinic enrolled in Medicare?

Yes. Santa Cruz Medical Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Santa Cruz Medical Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Santa Cruz Medical Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Santa Cruz Medical Clinic was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.