ELISHA KANG PA-C
NPI 1184379596
Physician Assistant in San Diego, CA

Q: What is Elisha Kang's NPI number?

The NPI number for Elisha Kang is 1184379596. It was assigned to this individual provider in the NPPES registry on February 14, 2022.

Q: What is Elisha Kang's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Elisha Kang was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since February 14, 2022PECOS EnrolledAccepts Medicare Assignment

3900 5TH AVE STE 110, SAN DIEGO, CA 92103(858) 554-1212 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2024, Oct 18, 2023, Feb 14, 2022 (3 updates tracked since 2022).

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About Elisha Kang Pa-c NPPES

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

ELISHA KANG PA-C (NPI 1184379596) is an individual physician assistant in San Diego, California, licensed in California (60293) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1184379596

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameELISHA KANGCredential: PA-C

Location Address3900 5TH AVE STE 110San Diego, CA 92103-3122

Mailing Address3900 5th Ave Ste 110San Diego, CA 92103-3122 · (858) 554-1212

Phone(858) 554-1212

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 14, 2022

Last NPPES UpdateNovember 14, 20243 updates tracked since enumeration

NPPES CertifiedNovember 14, 2024

✔ NPI 1184379596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · 60293

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3900 5TH AVE STE 110, San Diego, CA 92103

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Secondary Practice Locations 2

Location 1999 N Tustin Ave Ste 216Santa Ana, CA 92705-6506 · Phone (714) 545-5550 · Fax (949) 609-0374

Location 21310 W Stewart Dr Ste 306Orange, CA 92868-3838 · Phone (714) 545-5550 · Fax (949) 609-0374

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

Elisha Kang Pa-c 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 ID8325301641

PECOS Enrollment IDI20220328002390

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.

Areas of Expertise CMS Part B claims 2

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

20 services13 patients

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.

18 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

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.

JORDAN LOUIE AHN

Physician Assistant