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DAE-WOOK KANG, M.D. PROFESSIONAL CORPORATION
NPI 1477736650
Clinic/Center in San Jose, CA

Active since December 11, 2007
2000 W. HEDDING ST., SUITE 10, SAN JOSE, CA 95128(408) 280-5500(408) 275-8311 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dae-wook Kang, M.d. Professional Corporation NPPES

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

DAE-WOOK KANG, M.D. PROFESSIONAL CORPORATION (NPI 1477736650) is a healthcare organization registered as a clinic/center in San Jose, California and active in the NPI registry since December 2007. The organization lists Dae-wook Kang, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477736650
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDAE-WOOK KANG, M.D. PROFESSIONAL CORPORATION
Location Address2000 W. HEDDING ST., SUITE 10San Jose, CA 95128-1426
Mailing Address2000 W Hedding St, Suite 10San Jose, CA 95128-1426 · (408) 280-5500 · Fax (408) 275-8311
Phone(408) 280-5500
Fax(408) 275-8311
Organization SubpartNo
Authorized OfficialDae-wook KangCeo · (408) 280-5500
Enumeration DateDecember 11, 2007
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1477736650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · G79486
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2000 W. HEDDING ST., San Jose, CA 95128
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Other Identifiers 1

Medicaid00G794860CA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dae-wook Kang, M.d. Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dae-Wook Kang, M.D. Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dae-Wook Kang, MD
Internal Medicine
NPI 1194741272
2000 W HEDDING ST SUITE 10
San Jose, CA 95128
(408) 280-5500
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dae-Wook Kang, M.D. Professional Corporation's NPI number?

The NPI number for Dae-Wook Kang, M.D. Professional Corporation is 1477736650. It was assigned to this organization in the NPPES registry on December 11, 2007.

Where is Dae-Wook Kang, M.D. Professional Corporation located?

Dae-Wook Kang, M.D. Professional Corporation is located at 2000 W. Hedding St. Suite 10, San Jose, CA 95128. The listed phone number is (408) 280-5500.

What is Dae-Wook Kang, M.D. Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Dae-Wook Kang, M.D. Professional Corporation enrolled in Medicare?

Yes. Dae-Wook Kang, M.D. Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dae-Wook Kang, M.D. Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Dae-Wook Kang, M.D. Professional Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dae-Wook Kang, M.D. Professional Corporation was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.