1. Home
  2. Directory
  3. California
  4. Buena Park
  5. Internal Medicine
  6. NPI Profile

SOO WOONG KANG
NPI 1164577706
Internal Medicine in Buena Park, CA

Active since January 24, 2007PECOS Enrolled
6714 BEACH BLVD, BUENA PARK, CA 90621(147) 526-7787 Get Directions Write a Review

NPPES record last updated: April 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Soo Woong Kang NPPES

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

SOO WOONG KANG (NPI 1164577706) is an individual internal medicine provider in Buena Park, California, licensed in California (A66630) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1996).

NPPES Registry Identity

NPI1164577706
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSOO WOONG KANG
Location Address6714 BEACH BLVDBuena Park, CA 90621-3410
Mailing Address6714 Beach BlvdBuena Park, CA 90621-3410 · (714) 572-6778 · Fax (714) 752-6809
Phone(147) 526-7787
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1996
Enumeration DateJanuary 24, 2007
Last NPPES UpdateApril 12, 2019
✔ NPI 1164577706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A66630
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6714 BEACH BLVD, Buena Park, CA 90621
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A666300CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soo Woong Kang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567558216
PECOS Enrollment IDI20071011000307
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 Reassignment

Medicare enrollment records show Soo Kang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Soo Woong Kang MD Inc
5.5 mi
Internal Medicine
11832 ROSECRANS AVE, 127
Norwalk, CA 90650
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1689880593 (562) 868-6256

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
921 services311 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
226 services133 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
148 services148 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
72 services44 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
31 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90621 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 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers231 claims378 services$5.23 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers142 claims144 services$0.88 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
9 suppliers45 claims90 services$60.32 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
9 suppliers45 claims270 services$25.00 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers16 claims16 services$42.46 avg. paid by Medicare
Seat attachment, walker E0156
DME-Other DME · category DE000N
4 suppliers15 claims15 services$15.42 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 3

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

DR. ROY AJIT NAMBUDRIPAD M.D.
General Practice
6714 BEACH BLVD
BUENA PARK, CA 90621
Orange County (714) 523-8900
JIEUN SIM
Nurse Practitioner (Family)
6714 BEACH BLVD
BUENA PARK, CA 90621
Orange County (714) 752-6778
DR. DEVI S. NAMBUDRIPAD D.C., L.AC., PH.D.
Chiropractor (Nutrition)
6714 BEACH BLVD
BUENA PARK, CA 90621
Orange County (714) 523-8900

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 Soo Kang's NPI number?

The NPI number for Soo Kang is 1164577706. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Soo Kang located?

Soo Kang practices at 6714 Beach Blvd, Buena Park, CA 90621. The listed phone number is (147) 526-7787.

What is Soo Kang's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Soo Kang enrolled in Medicare?

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

Which organization bills Medicare for Soo Kang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soo Kang reassigns Medicare benefits to Soo Woong Kang MD Inc (Norwalk, CA). The 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 Soo Kang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Soo Kang was last updated on April 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.