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ELISA KANG
NPI 1518845825
Nurse Practitioner - Family in San Mateo, CA

Active since August 25, 2025PECOS Enrolled
280 BALDWIN AVE, SAN MATEO, CA 94401(650) 727-6008 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elisa Kang NPPES

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

ELISA KANG (NPI 1518845825) is an individual family provider in San Mateo, California, licensed in California (95033898) and active in the NPI registry since August 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1518845825
Entity TypeIndividual
Primary Taxonomy363LF0000X
Provider Legal NameELISA KANG
Location Address280 BALDWIN AVESan Mateo, CA 94401-3915
Mailing Address280 Baldwin AveSan Mateo, CA 94401-3915
Phone(650) 727-6008
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 25, 2025
Last NPPES UpdateAugust 19, 2026
NPPES CertifiedAugust 19, 2026
✔ NPI 1518845825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95033898
280 BALDWIN AVE, San Mateo, CA 94401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisa Kang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072085679
PECOS Enrollment IDI20260615003660
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 Elisa Kang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Golden State Dermatology Associates Inc
30 mi
Dermatology
355 LENNON LN STE 255
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 103 clinicians in this Medicare group
NPI 1700860871 (925) 932-7704

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94401 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 7

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

DR. ELIZABETH WANG MD
Dermatology
280 BALDWIN AVE
SAN MATEO, CA 94401
San Mateo County (650) 727-6008
ELENA NIMON PA-C
Physician Assistant (Medical)
280 BALDWIN AVE
SAN MATEO, CA 94401
San Mateo County (650) 344-1121
ALLURA SKIN & LASER CENTER, INC.
Dermatology
280 BALDWIN AVE
SAN MATEO, CA 94401
San Mateo County (650) 344-1121
JOSHUA WORTH
Physician Assistant
280 BALDWIN AVE
SAN MATEO, CA 94401
San Mateo County (650) 727-6008
CARIE TZE-WAN CHUI M.D.
Dermatology
280 BALDWIN AVE
SAN MATEO, CA 94401
San Mateo County (650) 344-1121
BRUCE L MALTZ M.D.
Dermatology
280 BALDWIN AVE
SAN MATEO, CA 94401
San Mateo County (650) 344-1121
KERRY DIANTHA ZANDEE VAN RILLAND MD
Dermatology
280 BALDWIN AVE
SAN MATEO, CA 94401
San Mateo County (650) 727-6008

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 Elisa Kang's NPI number?

The NPI number for Elisa Kang is 1518845825. It was assigned to this individual provider in the NPPES registry on August 25, 2025.

Where is Elisa Kang located?

Elisa Kang practices at 280 Baldwin Ave, San Mateo, CA 94401. The listed phone number is (650) 727-6008.

What is Elisa Kang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elisa Kang enrolled in Medicare?

Yes. Elisa Kang is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elisa Kang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elisa Kang reassigns Medicare benefits to Golden State Dermatology Associates Inc (Walnut Creek, 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 Elisa 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 Elisa Kang was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.