DR. SOO JI KANG DOCTORATE
NPI 1649902669
Nurse Anesthetist, Certified Registered in West Hollywood, CA

Active since June 28, 2022Accepts Medicare Assignment
85.71/100
CMS Quality Rating
8700 BEVERLY BLVD # 8211, WEST HOLLYWOOD, CA 90048(310) 423-1839 Get Directions Write a Review

NPPES record last updated: June 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Soo Ji Kang Doctorate NPPES

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

DR. SOO JI KANG DOCTORATE (NPI 1649902669) is an individual nurse anesthetist, certified registered in West Hollywood, California, licensed in California (95001806) and active in the NPI registry since June 2022. She is a graduate of University Of Southern California Keck School Of Medicine (2022).

NPPES Registry Identity

NPI1649902669
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameDR. SOO JI KANGCredential: DOCTORATE
Location Address8700 BEVERLY BLVD # 8211West Hollywood, CA 90048-1804
Mailing Address8700 Beverly Blvd Rm 8211West Hollywood, CA 90048-1804
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2022
Enumeration DateJune 28, 2022
Last NPPES UpdateJune 23, 2024
NPPES CertifiedJune 23, 2024
NPI 1649902669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in CA · 95001806
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

8700 BEVERLY BLVD # 8211, West Hollywood, CA 90048

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 Ji Kang Doctorate 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 ID5092198465
PECOS Enrollment IDI20220817002339

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
12 services12 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

Other Providers at the Same Location NPPES 5

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

Anesthesiology
8700 BEVERLY BLVD # 8211
LOS ANGELES, CA 90048
Anesthesiology
8700 BEVERLY BLVD # 8211
WEST HOLLYWOOD, CA 90048
Anesthesiology
8700 BEVERLY BLVD # 8211
WEST HOLLYWOOD, CA 90048
Anesthesiology
8700 BEVERLY BLVD # 8211
WEST HOLLYWOOD, CA 90048
Anesthesiology (Pediatric Anesthesiology)
8700 BEVERLY BLVD # 8211
WEST HOLLYWOOD, CA 90048

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 Ji Kang's NPI number?

The NPI number for Soo Ji Kang is 1649902669. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Soo Ji Kang located?

Soo Ji Kang practices at 8700 Beverly Blvd # 8211, West Hollywood, CA 90048. The listed phone number is (310) 423-1839.

What is Soo Ji Kang's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Soo Ji Kang enrolled in Medicare?

Yes. Soo Ji 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.

When was this NPI record last updated?

The NPPES record for Soo Ji Kang was last updated on June 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.