Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SEAN HENGLY KONG
NPI 1265278774
Nurse Practitioner in Gardena, CA

Q: What is Sean Kong's NPI number?

The NPI number for Sean Kong is 1265278774. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Q: What is Sean Kong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Kong was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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 July 03, 2024

15519 CRENSHAW BLVD, GARDENA, CA 90249(310) 679-2730 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2026, Jun 25, 2025, Jul 3, 2024 (3 updates tracked since 2024).

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About Sean Hengly Kong NPPES

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

SEAN HENGLY KONG (NPI 1265278774) is an individual nurse practitioner in Gardena, California, licensed in California (95034007) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1265278774

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameSEAN HENGLY KONG

Location Address15519 CRENSHAW BLVDGardena, CA 90249-4597

Mailing Address15519 Crenshaw BlvdGardena, CA 90249-4525 · (310) 679-2730

Phone(310) 679-2730

Sole ProprietorYes

Enumeration DateJuly 3, 2024

Last NPPES UpdateJune 22, 20263 updates tracked since enumeration

NPPES CertifiedJune 22, 2026

✔ NPI 1265278774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95034007

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

15519 CRENSHAW BLVD, Gardena, CA 90249

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DEANDRE DICKERSON

Peer Specialist