SANDRA S. KWAK, M.D., INC. (NPI# 1528298700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528298700 |
| Entity Type | Organization |
| Organization Name | SANDRA S. KWAK, M.D., INC. |
| Practice Address |
520 Superior Ave Suite # 310 Newport Beach CA 92663-3637 |
| Mailing Address |
Po Box 15280 Newport Beach CA 92659-5280 |
| Practice Telephone | 9496458800 |
| Practice Fax Number | 9496458844 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2010-08-03 |
| Authorized Official Name | DR. SANDRA SOOHYUN KWAK (PRESIDENT) |
| Authorized Official Telephone | 9496458800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
A88895 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | INDIVIDUAL NPI NUMBER | 1316011364 | 01 |
| Street Address |
520 SUPERIOR AVE SUITE # 310 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536773 | Khosrow Mahdavi | Specialist | 520 Superior Ave, #315, Newport Beach, CA 92663-3637 | 2005-05-27 |
| 1770113623 | Kelly Watkins | Family Medicine | 520 Superior Ave, Newport Beach, CA 92663-3637 | 2020-01-20 |
| 1548819071 | Care Connectors Affiliated Physicians Inc | Clinic/Center | 520 Superior Ave, Suite 250, Newport Beach, CA 92663 | 2019-09-07 |
| 1275189813 | Kerry Lamb | Physician Assistant | 520 Superior Ave, Newport Beach, CA 92663-3637 | 2019-08-09 |
| 1649714627 | Eugene Alexander Yamamoto | Physician Assistant | 520 Superior Ave, #270, Newport Beach, CA 92663-3637 | 2016-12-11 |
| 1659727865 | Ralli and Grewal Apc | Internal Medicine | 520 Superior Ave, Suite 390, Newport Beach, CA 92663-3637 | 2016-05-05 |
| 1083020606 | Li Si Zeng | Physician Assistant | 520 Superior Ave, Suite 270, Newport Beach, CA 92663-3637 | 2014-07-02 |
| 1376960443 | Spn Medical Consulting | Clinic/Center | 520 Superior Ave, Suite 350, Newport Beach, CA 92663-3637 | 2014-03-26 |
| 1275955668 | David R Reinstadler M.d. Inc | Otolaryngology | 520 Superior Ave, Suite 240, Newport Beach, CA 92663-3637 | 2014-01-20 |
| 1821426537 | John C Champion Md | Internal Medicine | 520 Superior Ave, Suite 290, Newport Beach, CA 92663-3637 | 2013-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588734743 | Farzana Naqvi | Internal Medicine | 520 Superior Ave Ste 390, Newport Beach, CA 92663-3668 | 2006-11-08 |
| 1366535684 | Kris V Iyer | Internal Medicine | 520 Superior Ave Ste 150, Newport Beach, CA 92663-3642 | 2006-09-30 |
| 1447359930 | Lord A Lee-benner | Internal Medicine | 4121 Westerly Pl Ste 204, Newport Beach, CA 92660-2338 | 2006-09-21 |
| 1336136951 | Duc H. Do | Internal Medicine | 355 Placentia Ave Ste 207a, Newport Beach, CA 92663-3302 | 2005-09-29 |
| 1659727865 | Ralli and Grewal Apc | Internal Medicine | 520 Superior Ave, Suite 390, Newport Beach, CA 92663-3637 | 2016-05-05 |
| 1972937266 | Spn Medical Consulting Inc. | Internal Medicine | 520 Superior Ave, Ste. 350, Newport Beach, CA 92663-3637 | 2013-08-22 |
| 1679859037 | Newport Endocrine Associates | Internal Medicine | 351 Hospital Rd, Suite 415, Newport Beach, CA 92663-3509 | 2011-10-31 |
| 1184949570 | David Taehyung Ahn | Internal Medicine | 520 Superior Ave Ste 150, Newport Beach, CA 92663-3642 | 2010-03-29 |
| 1942453584 | Endocrine Medical-home, A Professional Corporation | Internal Medicine | 320 Superior Ave, Suite 240, Newport Beach, CA 92663-2716 | 2008-10-28 |
| 1457501371 | A Reza Moattari Md Inc. | Internal Medicine | 1441 Avocado Ave, Ste 807, Newport Beach, CA 92660-7721 | 2008-09-28 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
Please comment or provide details below to improve the information on SANDRA S. KWAK, M.D., INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.