DR. BOMAE NMI KANG MD
NPI 1689692717
Pediatrics in Sacramento, CA
About Dr. Bomae Nmi Kang Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BOMAE NMI KANG MD (NPI 1689692717) is an individual pediatrics provider in Sacramento, California, licensed in California (A94769) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Bomae Nmi Kang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bomae Kang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bakersfield, CA 93312
- Reassigned Medicare billing, California enrollment
- 5,228 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
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 Bomae Kang's NPI number?
The NPI number for Bomae Kang is 1689692717. It was assigned to this individual provider in the NPPES registry on July 17, 2006. The provider is also known as Dr. Bomae Nmi Kang MD.
Where is Bomae Kang located?
Bomae Kang practices at 2521 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 703-3050.
What is Bomae Kang's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Bomae Kang enrolled in Medicare?
Yes. Bomae Kang is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bomae Kang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bomae Kang reassigns Medicare benefits to Southern California Permanente Medical Group (Bakersfield, 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 Bomae 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 Bomae Kang was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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. Bomae Nmi Kang, MD · NPI 1689692717
Pediatrics physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since July 17, 2006.
## Identity
- **NPI:** 1689692717 (Entity type: Individual)
- **Enumerated:** July 17, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A94769 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2521 STOCKTON BLVD, Sacramento, CA 95817-2207
- **Phone:** (916) 703-3050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1316572753, Bakersfield, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1689692717) · Data from the CMS NPPES public registry.