Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Elisa Kang's specialty?

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

Q: 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 16 days 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 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: August 30, 2026.

On this page

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

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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