KENNETH W. PONG MD
NPI 1164599981
Family Medicine in Harbor City, CA

Q: What is Kenneth Pong's NPI number?

The NPI number for Kenneth Pong is 1164599981. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Kenneth Pong's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Pong was last updated on November 29, 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.

Active since November 29, 2006PECOS Enrolled

25825 VERMONT AVE, HARBOR CITY, CA 90710(310) 325-5111 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kenneth W. Pong Md NPPES

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

KENNETH W. PONG MD (NPI 1164599981) is an individual family medicine provider in Harbor City, California, licensed in California (G45384) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164599981

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKENNETH W. PONGCredential: MD

Location Address25825 VERMONT AVEHarbor City, CA 90710-3518

Mailing Address25825 Vermont AveHarbor City, CA 90710-3518 · (310) 325-5111

Phone(310) 325-5111

Sole ProprietorNo

Enumeration DateNovember 29, 2006

Last NPPES UpdateNovember 29, 2021

✔ NPI 1164599981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · G45384

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.

25825 VERMONT AVE, Harbor City, CA 90710

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth W. Pong 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90710 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

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.

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.

SEAN KOH PHARM.D.

Pharmacist