EVERETT K. KANG


Address: 5500 University Parkway, Csusb Student Health Center, San Bernardino, CA 92407-2397
Phone: 9095375241

EVERETT K. KANG (NPI# 1750608774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750608774
Entity Type Individual
Full Name EVERETT K. KANG
Credential M.D.
Practice Address 5500 University Parkway
Csusb Student Health Center
San Bernardino
CA 92407-2397
Mailing Address 5500 University Parkway
San Bernardino
CA 92407-2397
Practice Telephone 9095375241
Mailing Telephone 9095375241
Enumeration Date 2010-04-29
Last Update Date 2015-04-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine A119364 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 5500 UNIVERSITY PARKWAY
CSUSB STUDENT HEALTH CENTER
City SAN BERNARDINO
State CA
Zip Code 92407-2397

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952425316 Yolanda A Mickevicius Ruokis Internal Medicine 5500 University Parkway, California State University San Bernardino Student Hlth, San Bernardino, CA 92407-2397 2007-03-19
1881142578 Yolanda Nunez Community/Behavioral Health 5500 University Parkway, San Bernardino, CA 92407-2397 2016-09-12
1861602021 Richelle Marracino Family Medicine 5500 University Parkway, Csusb Student Health Center, San Bernardino, CA 92407 2007-05-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639789233 Luis Enrique Macias Case Manager/Care Coordinator 26967 Beaumont Ave., Redlands Ca 92373, San Bernardino, CA 92407 2020-08-07
1619526209 Louise E Curran Social Worker 6395 N Azalea Ave, San Bernardino, CA 92407 2019-09-06
1619496049 Portia Monique Jackson Licensed Vocational Nurse 1022 Sunbrook Dr., San Bernardino, CA 92407 2017-09-18
1568988467 Jon Michael Hensley Behavior Technician 1638 Windsor Street, San Bernardino, CA 92407 2017-08-22
1063933349 Priority Rounds Transport, L.l.c Non-emergency Medical Transport (VAN) 18245 Evening Primrose Ln, San Bernardino, CA 92407 2017-06-27
1760927263 Denkorach Inc In Home Supportive Care 1265 Kendall Drive, Unit 1614, San Bernardino, CA 92407 2016-12-20
1558606517 Pradeep Amin Pharmacist 4150 N Sierra Way, San Bernardino, CA 92407 2012-12-03
1811231384 Lucindy Thomasina Fuller Rehabilitation Practitioner 1265 Kendall Dr, San Bernardino, CA 92407 2012-11-21
1578793337 Shareela Marie Allen Social Worker 6791 N. Ofeila Drive, San Bernardino, CA 92407 2009-07-15
1720239304 Alejandro Paul Holguin Social Worker 6076 Norma Ln, San Bernardino, CA 92407 2008-10-01
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346803954 Community Health Care Foundation Family Medicine 406 E Vanderbilt Way Bldg 8, San Bernardino, CA 92408-3552 2019-04-18
1558837153 Inland Empire Health Centers Family Medicine 1374 N Waterman Ave, San Bernardino, CA 92404-5313 2018-10-22
1356846281 Maria Socorro Ruiz-rodriguez Family Medicine 850 W Highland Ave Ste A, San Bernardino, CA 92405-3855 2018-03-23
1588041859 Mai-linh Ngoc Tran Family Medicine 1455 3rd Ave, San Bernardino, CA 92408 2015-05-06
1932514239 Sarah Kin Family Medicine 1499 E Highland Ave, San Bernardino, CA 92404-4611 2014-06-25
1689930570 Healthy Baby & Me, A Medical Corporation Family Medicine 1666 Medical Center Dr Ste 3, San Bernardino, CA 92411-1257 2012-04-05
1649548462 Ralph R. Vega M.d., Dabfp Inc Family Medicine 1666 N. Medical Center Dr, Suite 2, San Bernardino, CA 92411-1257 2011-12-07
1477860187 Molina Healthcare of California Family Medicine 170 East Highland Ave, San Bernardino, CA 92404-3658 2010-09-02
1043441900 Healthy Preferred Inc Family Medicine 475 S Arrowhead Ave, Ste D, San Bernardino, CA 92408-1347 2009-07-27
1568629889 Tae Kyu Kim Family Medicine 275 W Hospitality Ln Ste 200, San Bernardino, CA 92408-3238 2008-05-22
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Competitor

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City SAN BERNARDINO
Zip Code 92407

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Dataset Information

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.

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