DR. SOO YEON KELLY KANG M.D,
NPI 1508038415
Psychiatry & Neurology - Psychiatry in Santa Monica, CA
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Soo Yeon Kang reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 221 clinicians in this Medicare group
Los Angeles, CA 90066
- Reassigned Medicare billing, California enrollment
- 103 clinicians in this Medicare group
Los Angeles, CA 90045
- Reassigned Medicare billing, California enrollment
- 131 clinicians in this Medicare group
Pittsburg, CA 94565
- Reassigned Medicare billing, California enrollment
- 530 clinicians in this Medicare group
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
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.
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.
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.
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.
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
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 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..
Where is Soo Yeon Kang located?
Soo Yeon Kang practices at 2001 Santa Monica Blvd Ste 860W, Santa Monica, CA 90404. The listed phone number is (310) 301-7396.
What is Soo Yeon Kang's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Soo Yeon Kang enrolled in Medicare?
Yes. Soo Yeon 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 organizations bill Medicare for Soo Yeon Kang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Soo Yeon Kang reassigns Medicare benefits to 4 organizations: Uc Regents (Los Angeles, CA), Regents Of The University Of California Los Angeles (Los Angeles, CA), Special Service For Groups, Inc. (Los Angeles, CA) and Contra Costa County (Pittsburg, CA). Each 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 Yeon 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 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 21 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.
# Dr. Soo Yeon Kelly Kang, M.D, · NPI 1508038415
Psychiatry physician in Santa Monica, California. Individual provider, active in the CMS NPPES registry since March 31, 2008.
## Identity
- **NPI:** 1508038415 (Entity type: Individual)
- **Enumerated:** March 31, 2008
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** A109239 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2001 SANTA MONICA BLVD STE 860W, Santa Monica, CA 90404-2189
- **Phone:** (310) 301-7396
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Uc Regents (NPI 1750368999, Los Angeles, CA); Regents Of The University Of California Los Angeles (NPI 1609194497, Los Angeles, CA); Special Service For Groups, Inc. (NPI 1639291073, Los Angeles, CA); Contra Costa County (NPI 1073691598, Pittsburg, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** January 14, 2025
- **Other identifiers:** Medicaid 1508038415 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1508038415) · Data from the CMS NPPES public registry.