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ELIZABETH KWAK
NPI 1225659345
Pediatrics in Santa Clara, CA

Active since April 29, 2020PECOS Enrolled
710 LAWRENCE EXPY, SANTA CLARA, CA 95051(408) 851-1000 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2025, Jul 7, 2023, Jun 2, 2020 (3 updates tracked since 2020).

About Elizabeth Kwak NPPES

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

ELIZABETH KWAK (NPI 1225659345) is an individual pediatrics provider in Santa Clara, California, licensed in California (205442) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2020).

NPPES Registry Identity

NPI1225659345
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameELIZABETH KWAK
Location Address710 LAWRENCE EXPYSanta Clara, CA 95051-5173
Mailing Address710 Lawrence ExpySanta Clara, CA 95051-5173 · (408) 851-1000
Phone(408) 851-1000
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2020
Enumeration DateApril 29, 2020
Last NPPES UpdateOctober 21, 20253 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1225659345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · 205442✔ Licensed in WA · ML61445722✔ Licensed in PA · MT221095
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
710 LAWRENCE EXPY, Santa Clara, CA 95051
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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 (PECOS)

Elizabeth Kwak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335509058
PECOS Enrollment IDI20251106002177
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 95051 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

MRS. SHARLENE JUNIO MADANES N.P.
Nurse Practitioner (Family)
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-3829
ELLEN CHINCHILLI MD
Student in an Organized Health Care Education/Training Program
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-3817
SWARNA L KONERU RD
Dietitian, Registered
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1000
MRS. BRIDGET M. BOUYSSOUNOUSE P.T.
Physical Therapist
710 LAWRENCE EXPY, DEPT. #174
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1466
FLAIR D. GOLDMAN DPM
Podiatrist
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 236-6400
MR. KRISNA P CHAI M.D.
Internal Medicine (Gastroenterology)
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1000
KARISSA TAAN MPT
Physical Therapist
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1492
ANDREA B. HUTCHINSON MD
Obstetrics & Gynecology
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1000

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 Elizabeth Kwak's NPI number?

The NPI number for Elizabeth Kwak is 1225659345. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Elizabeth Kwak located?

Elizabeth Kwak practices at 710 Lawrence Expy, Santa Clara, CA 95051. The listed phone number is (408) 851-1000.

What is Elizabeth Kwak's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Elizabeth Kwak enrolled in Medicare?

Yes. Elizabeth Kwak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Kwak was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.