DR. KIANDRA MARIE KANG MD
NPI 1740571587
Pediatrics in Watsonville, CA

Q: What is Kiandra Kang's NPI number?

The NPI number for Kiandra Kang is 1740571587. It was assigned to this individual provider in the NPPES registry on April 27, 2011.

Q: What is Kiandra Kang's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kiandra Kang was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since April 27, 2011PECOS Enrolled

1430 FREEDOM BLVD, WATSONVILLE, CA 95076(831) 763-8400 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 19, 2025, Aug 30, 2023, Apr 2, 2020 and 2 more (5 updates tracked since 2017).

On this page

About Dr. Kiandra Marie Kang Md NPPES

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

DR. KIANDRA MARIE KANG MD (NPI 1740571587) is an individual pediatrics provider in Watsonville, California, licensed in California (A124414) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740571587

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KIANDRA MARIE KANGCredential: MD

Location Address1430 FREEDOM BLVDWatsonville, CA 95076-2780

Mailing Address1430 Freedom BlvdWatsonville, CA 95076-2780 · (831) 763-8400

Phone(831) 763-8400

Sole ProprietorNo

Enumeration DateApril 27, 2011

Last NPPES UpdateFebruary 19, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2025

✔ NPI 1740571587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A124414

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1430 FREEDOM BLVD, Watsonville, CA 95076

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1204 E Beach StWatsonville, CA 95076-4809 · Phone (831) 728-0222 · Fax (831) 707-2777

Location 245 Neilson StWatsonville, CA 95076-2468 · Phone (831) 728-0222 · Fax (831) 707-2777

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kiandra Marie Kang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kiandra Kang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Santa Cruz

Same address

Federally Qualified Health Center (FQHC)

1430 FREEDOM BLVD.
Watsonville, CA 95076

Reassigned Medicare billing, California enrollment
Also billed through NPI 1578680310 (California)
43 clinicians in this Medicare group

NPI 1770709149 (831) 763-8400

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 95076 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

$96.03 typical visit price

range $62.97 – $186.69

Typical copayment $24.00 (range $15.74 – $46.67)

Most-billed visit code 99203

Established Patient

$109.72 typical visit price

range $21.02 – $153.16

Typical copayment $27.43 (range $5.25 – $38.29)

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 20

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

DR. MIGUEL ALEJANDRO LOPEZ MENDOZA DO

Family Medicine

1430 FREEDOM BLVD
WATSONVILLE, CA 95076

Santa Cruz County (831) 763-8400

COUNTY OF SANTA CRUZ

Clinical Medical Laboratory

1430 FREEDOM BLVD, LABORATORY
WATSONVILLE, CA 95076

Santa Cruz County (831) 763-8173

CLAUDIA MARIA CANDIDO RN

Registered Nurse (Community Health)

1430 FREEDOM BLVD
WATSONVILLE, CA 95076

Santa Cruz County (831) 763-8157

YOLANDA EVELYN JAMES-SEVILLA

Case Manager/Care Coordinator

1430 FREEDOM BLVD
WATSONVILLE, CA 95076

Santa Cruz County (831) 763-8174

ELIDIA GIRON

Counselor (Mental Health)

1430 FREEDOM BLVD
WATSONVILLE, CA 95076

Santa Cruz County (831) 763-8400

FLORINE ASAYO WESTERLY

Counselor (Mental Health)

1430 FREEDOM BLVD
WATSONVILLE, CA 95076

Santa Cruz County (831) 763-8200

DR. NATHAN COHEN MD

Psychiatry & Neurology (Psychiatry)

1430 FREEDOM BLVD
WATSONVILLE, CA 95076

Santa Cruz County (831) 763-8400

LOURDES HERNANDEZ BARRAZA PSY. D.

Adult Companion

1430 FREEDOM BLVD
WATSONVILLE, CA 95076

Santa Cruz County (831) 763-8997

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 Kiandra Kang's NPI number?

The NPI number for Kiandra Kang is 1740571587. It was assigned to this individual provider in the NPPES registry on April 27, 2011.

Where is Kiandra Kang located?

Kiandra Kang practices at 1430 Freedom Blvd, Watsonville, CA 95076. The listed phone number is (831) 763-8400.

What is Kiandra Kang's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kiandra Kang enrolled in Medicare?

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

Which organization bills Medicare for Kiandra Kang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiandra Kang reassigns Medicare benefits to County Of Santa Cruz (Watsonville, 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 Kiandra 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 Kiandra Kang was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.