BUMIN KONG
NPI 1497382220
Physical Medicine & Rehabilitation - Pain Medicine in Thousand Oaks, CA

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment
558 SAINT CHARLES DR STE 200, THOUSAND OAKS, CA 91360(805) 379-2322 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2026, Dec 29, 2025, Sep 15, 2025 and 3 more (6 updates tracked since 2020).

About Bumin Kong NPPES

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

BUMIN KONG (NPI 1497382220) is an individual pain medicine provider in Thousand Oaks, California, licensed in California (A178290) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Thousand Oaks, and is a graduate of University Of California, Irvine, California College Of Medicine (2020).

NPPES Registry Identity

NPI1497382220
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameBUMIN KONG
Location Address558 SAINT CHARLES DR STE 200Thousand Oaks, CA 91360-3968
Mailing Address1001 Newbury RdThousand Oaks, CA 91320-6434 · (805) 379-2322
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2020
Enumeration DateMarch 23, 2020
Last NPPES UpdateApril 2, 20266 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
NPI 1497382220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License Licensed in CA · A178290
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedEmergency MedicineTaxonomy 207P00000X · License A178290 (CA)
558 SAINT CHARLES DR STE 200, Thousand Oaks, CA 91360

Secondary Practice Location 1

Location 11001 Newbury RdThousand Oaks, CA 91320-6434 · Phone (805) 379-2322 ext. 119 · Fax (805) 379-6786

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

Bumin Kong 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 ID8820457252
PECOS Enrollment IDI20230703002793
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 21

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.

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.
540 services220 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
388 services61 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
167 services167 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
113 services113 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
87 services61 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
81 services52 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
558 SAINT CHARLES DR STE 200
THOUSAND OAKS, CA 91360

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 Bumin Kong's NPI number?

The NPI number for Bumin Kong is 1497382220. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Bumin Kong located?

Bumin Kong practices at 558 Saint Charles Dr Ste 200, Thousand Oaks, CA 91360. The listed phone number is (805) 379-2322.

What is Bumin Kong's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Bumin Kong enrolled in Medicare?

Yes. Bumin Kong 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.

When was this NPI record last updated?

The NPPES record for Bumin Kong was last updated on April 2, 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.