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KUSH MEDICAL GROUP
NPI 1104958784
Anesthesiology - Pain Medicine in Gardena, CA

Active since March 10, 2007
14015 VAN NESS AVE # 10, GARDENA, CA 90249(310) 327-7682(310) 327-7765 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Kush Medical Group NPPES

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

KUSH MEDICAL GROUP (NPI 1104958784) is a healthcare organization registered as a pain medicine in Gardena, California and active in the NPI registry since March 2007. The organization lists Kiansi Boni, Owner, as its authorized official.

NPPES Registry Identity

NPI1104958784
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameKUSH MEDICAL GROUP
Location Address14015 VAN NESS AVE # 10Gardena, CA 90249-2937
Mailing AddressPo Box 6299Torrance, CA 90504-0299 · (310) 327-7682 · Fax (310) 327-7765
Phone(310) 327-7682
Fax(310) 327-7765
Organization SubpartNo
Authorized OfficialKiansi BoniOwner · (310) 644-3488
Enumeration DateMarch 10, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1104958784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in CA · A45536
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedFamily MedicineTaxonomy 207Q00000X · License A45536 (CA)
Also ListedPediatricsTaxonomy 208000000X · License A45536 (CA)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License A45536 (CA)
14015 VAN NESS AVE # 10, Gardena, CA 90249
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Other Identifiers 1

Medicaid00A455361CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Kush Medical Group's NPI number?

The NPI number for Kush Medical Group is 1104958784. It was assigned to this organization in the NPPES registry on March 10, 2007.

Where is Kush Medical Group located?

Kush Medical Group is located at 14015 Van Ness Ave # 10, Gardena, CA 90249. The listed phone number is (310) 327-7682.

What is Kush Medical Group's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

When was this NPI record last updated?

The NPPES record for Kush Medical Group was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.