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JOSEPH KWACK
NPI 1053739029
Internal Medicine - Hospice and Palliative Medicine in Santa Monica, CA

Active since April 06, 2014PECOS EnrolledAccepts Medicare Assignment
1340 15TH ST, SANTA MONICA, CA 90404(323) 648-1396 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2021, Nov 3, 2018, Jul 24, 2018 (3 updates tracked since 2018).

About Joseph Kwack NPPES

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

JOSEPH KWACK (NPI 1053739029) is an individual hospice and palliative medicine provider in Santa Monica, California, licensed in California (A139386) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2014).

NPPES Registry Identity

NPI1053739029
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameJOSEPH KWACK
Location Address1340 15TH STSanta Monica, CA 90404-1802
Mailing Address3000 S Robertson Blvd Ste 497Los Angeles, CA 90034-3158 · (323) 648-1396
Phone(323) 648-1396
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2014
Enumeration DateApril 6, 2014
Last NPPES UpdateDecember 6, 20213 updates tracked since enumeration
✔ NPI 1053739029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in CA · A139386
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
1340 15TH ST, Santa Monica, CA 90404
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Kwack is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931492139
PECOS Enrollment IDI20190308000629
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.

Other Providers at the Same Location NPPES 7

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

CANTALOUPE HOLDINGS, LLC
Skilled Nursing Facility
1340 15TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 451-9700
OCEANVIEW HEALTHCARE PARTNERS, LLC
Skilled Nursing Facility
1340 15TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 451-9706
IRENA TRAN DPT
Physical Therapist
1340 15TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 451-9700
JANE CHEN PT, DPT
Physical Therapist
1340 15TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 451-9700
OCEANVIEW CONVALESCENT HOSPITAL
Skilled Nursing Facility
1340 15TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 451-9706
GOLDSTAR HEALTHCARE CENTER OF SANTA MONICA, LLC
Skilled Nursing Facility
1340 15TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 451-9706
AUBREY TAYLOR JOHNSON
Physical Therapy Assistant
1340 15TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 451-9700

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 Joseph Kwack's NPI number?

The NPI number for Joseph Kwack is 1053739029. It was assigned to this individual provider in the NPPES registry on April 6, 2014.

Where is Joseph Kwack located?

Joseph Kwack practices at 1340 15th St, Santa Monica, CA 90404. The listed phone number is (323) 648-1396.

What is Joseph Kwack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Joseph Kwack enrolled in Medicare?

Yes. Joseph Kwack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Joseph Kwack was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.