DR. SOO YEON KELLY KANG M.D,
NPI 1508038415
Psychiatry & Neurology - Psychiatry in Santa Monica, CA

Q: What is Soo Yeon Kang's NPI number?

The NPI number for Soo Yeon Kang is 1508038415. It was assigned to this individual provider in the NPPES registry on March 31, 2008. The provider is also known as Dr. Soo Yeon Kang M.D..

Q: What is Soo Yeon Kang's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Soo Yeon Kang was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 31, 2008PECOS EnrolledAccepts Medicare Assignment

90.81/100

CMS Quality Rating

2001 SANTA MONICA BLVD STE 860W, SANTA MONICA, CA 90404(310) 301-7396 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Soo Yeon Kelly Kang M.d, NPPES

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

DR. SOO YEON KELLY KANG M.D, (NPI 1508038415) is an individual psychiatry provider in Santa Monica, California, licensed in California (A109239) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1508038415

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. SOO YEON KELLY KANGCredential: M.D,

Location Address2001 SANTA MONICA BLVD STE 860WSanta Monica, CA 90404-2189

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(310) 301-7396

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateMarch 31, 2008

Last NPPES UpdateJanuary 14, 2025

NPPES CertifiedJanuary 14, 2025

✔ NPI 1508038415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A109239

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2001 SANTA MONICA BLVD STE 860W, Santa Monica, CA 90404

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Other Names 1

Former Name (1)Dr. Soo Yeon Kang M.d.

Secondary Practice Location 1

Location 111303 W Washington BlvdLos Angeles, CA 90066-6003 · Phone (310) 301-7396

Other Identifiers 1

Medicaid1508038415CA

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

Dr. Soo Yeon Kelly Kang M.d, 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 ID4587832019

PECOS Enrollment IDI20110727000429

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

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.

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.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.79

Promoting Interoperability

100

Improvement Activities

Cost

80.84

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.

HYPATIA OSTOJIC LCSW

Social Worker (Clinical)