1. Home
  2. Directory
  3. California
  4. Folsom
  5. Nurse Practitioner
  6. NPI Profile

SOO KANG PMHNP
NPI 1356983670
Nurse Practitioner in Folsom, CA

Active since October 09, 2019PECOS EnrolledAccepts Medicare Assignment
510 PLAZA DR STE 170, FOLSOM, CA 95630(916) 351-9400 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2026, Sep 11, 2025, May 21, 2021 and 2 more (5 updates tracked since 2019).

About Soo Kang Pmhnp NPPES

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

SOO KANG PMHNP (NPI 1356983670) is an individual nurse practitioner in Folsom, California, licensed in California (95016830) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 34 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1356983670
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSOO KANGCredential: PMHNP
Location Address510 PLAZA DR STE 170Folsom, CA 95630-4790
Mailing Address7273 14th Ave Ste 120bSacramento, CA 95820-3500 · (916) 383-6784
Phone(916) 351-9400
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 9, 2019
Last NPPES UpdateJune 22, 20265 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1356983670 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 · 95016830
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.
510 PLAZA DR STE 170, Folsom, CA 95630
Open in Google Maps ↗

Secondary Practice Locations 34

Location 14025 N Fresno StFresno, CA 93726-4026 · Phone (916) 351-9400
Location 22440 Professional DrRoseville, CA 95661-7773 · Phone (916) 351-9400
Location 39381 E Stockton Blvd Ste 220Elk Grove, CA 95624-5070 · Phone (916) 351-9400
Location 41101 Maidu DrAuburn, CA 95603-5864 · Phone (916) 351-9400
Location 515720 Ventura Blvd Ste 210Encino, CA 91436-2954 · Phone (916) 351-9400
Location 61501 W Cameron Ave Ste 300-129West Covina, CA 91790-2724 · Phone (916) 351-9400
Location 75441 Aldrin Ct Ste ABakersfield, CA 93313-2194 · Phone (916) 351-9400
Location 81245 W 6th StCorona, CA 92882-1870 · Phone (916) 351-9400
Location 9225 W Hospitality Ln # 225201PSan Bernardino, CA 92408-3237 · Phone (916) 351-9400
Location 102008 W Dorothea Ave Ste 203Visalia, CA 93277-7300 · Phone (916) 351-9400
Location 111040 Park Ave Ste 200-ASan Jose, CA 95126-3075 · Phone (916) 351-9400
Location 123200 4th Ave Ste 200GSan Diego, CA 92103-5716 · Phone (916) 351-9400
Location 13414 W 21st StMerced, CA 95340-3718 · Phone (916) 351-9400
Location 142062 Talbert Dr Ste 100Chico, CA 95928-7718 · Phone (916) 351-9400
Location 1544240 Fremont BlvdFremont, CA 94538-6000 · Phone (916) 351-9400
Location 167177 Brockton Ave Ste 444ARiverside, CA 92506-2635 · Phone (916) 351-9400
Location 172345 Fletcher PkwyEl Cajon, CA 92020-2134 · Phone (916) 351-9400
Location 181372 N Main St Ste 206-1Walnut Creek, CA 94596-4692 · Phone (916) 351-9400
Location 19509 13th St Ste 8Modesto, CA 95354-2444 · Phone (916) 351-9400
Location 202222 Pacific AveStockton, CA 95204-5334 · Phone (916) 351-9400
Location 21169 Hartnell Ave Ste 110Redding, CA 96002-1849 · Phone (916) 351-9400
Location 223711 Long Beach Blvd Ste 4045Long Beach, CA 90807-3320 · Phone (916) 351-9400
Location 231254 Mission St Ste 220San Francisco, CA 94103-2706 · Phone (916) 351-9400
Location 241825 N Oxnard Blvd Ste 19Oxnard, CA 93030-3503 · Phone (916) 351-9400 · Fax (916) 351-9449
Location 25355 W Olive Ave Ste 3El Centro, CA 92243-3043 · Phone (916) 351-9400 · Fax (916) 351-9449
Location 2630 E San Joaquin St Ste 203BSalinas, CA 93901-2947 · Phone (916) 351-9400 · Fax (916) 351-9449
Location 27634 H StEureka, CA 95501-1053 · Phone (916) 351-9400 · Fax (916) 351-9449
Location 2855 Hitchcock Way Ste 209Santa Barbara, CA 93105-5635 · Phone (916) 351-9400 · Fax (916) 351-9449
Location 297273 14th Ave Ste 120BSacramento, CA 95820-3500 · Phone (916) 383-6784
Location 30622 Jackson St Unit 103Fairfield, CA 94533-6195 · Phone (916) 351-9400
Location 312955 Main St Ste 110-KIrvine, CA 92614-5909 · Phone (916) 351-9400
Location 322386 Fair Oaks BlvdSacramento, CA 95825-4741 · Phone (916) 351-9400
Location 337365 Carnelian St Ste 222FRancho Cucamonga, CA 91730-1157 · Phone (916) 351-9400
Location 34888 4th St Ste 12San Rafael, CA 94901-3284 · Phone (916) 351-9400

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Soo Kang Pmhnp 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 ID1052770997
PECOS Enrollment IDI20230710002850
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.

Hisham Soliman MD Inc
Same address
Mental Health (Including Community Mental Health Center)
510 PLAZA DR STE 170
Folsom, CA 95630
  • Reassigned Medicare billing, California enrollment
  • 99 clinicians in this Medicare group
NPI 1700199080 (916) 351-9400

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 3

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.
334 services95 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
332 services96 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95630 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

SALLY KEI MASON
Nurse Practitioner (Family)
510 PLAZA DR STE 170
FOLSOM, CA 95630
Sacramento County (916) 351-9400
MISS JENNIFER N OKECHUKWU NP
Nurse Practitioner (Psychiatric/Mental Health)
510 PLAZA DR STE 170
FOLSOM, CA 95630
Sacramento County (916) 351-9400
MRS. HARRIETH AMAKA MADU PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
510 PLAZA DR STE 170
FOLSOM, CA 95630
Sacramento County (916) 351-9400
JOHANNA ANDREA LANCHEROS
Nurse Practitioner (Psychiatric/Mental Health)
510 PLAZA DR STE 170
FOLSOM, CA 95630
Sacramento County (916) 351-9400
CHIDINMA LINDA UZOUKWU
Nurse Practitioner (Psychiatric/Mental Health)
510 PLAZA DR STE 170
FOLSOM, CA 95630
Sacramento County (916) 351-9400
RACHEAL EGO ANEKE
Nurse Practitioner (Psychiatric/Mental Health)
510 PLAZA DR STE 170
FOLSOM, CA 95630
Sacramento County (916) 351-9400
H SOLIMAN MEDICAL CORPORATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
510 PLAZA DR STE 170
FOLSOM, CA 95630
Sacramento County (916) 351-9400
MARYJANE CHINYERE HENSHAW PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
510 PLAZA DR STE 170
FOLSOM, CA 95630
Sacramento County (916) 351-9400

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 1356983670. It was assigned to this individual provider in the NPPES registry on October 9, 2019.

Where is Soo Kang located?

Soo Kang practices at 510 Plaza Dr Ste 170, Folsom, CA 95630. The listed phone number is (916) 351-9400.

What is Soo Kang's specialty?

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

Is Soo Kang enrolled in Medicare?

Yes. Soo Kang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 Hisham Soliman MD Inc (Folsom, 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 June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.