Bumin Kong, - Medicare Physical Medicine & Rehabilitation in Thousand Oaks, CA

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Bumin Kong, is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Thousand Oaks, California. His current practice location is 558 Saint Charles Dr Ste 200, Thousand Oaks, California. You can reach out to his office (for appointments etc.) via phone at (805) 379-2322.

Bumin Kong is licensed to practice in California (license number A178290) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497382220.

Contact Information

Bumin Kong,
558 Saint Charles Dr Ste 200,
Thousand Oaks, CA 91360-3968
(805) 379-2322
Not Available

Map and Direction




Physician's Profile

Full NameBumin Kong
GenderMale
SpecialityPhysical Medicine & Rehabilitation - Pain Medicine
Location558 Saint Charles Dr Ste 200, Thousand Oaks, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497382220
  • Provider Enumeration Date: 03/23/2020
  • Last Update Date: 09/26/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8820457252
  • Enrollment ID: I20230703002793

Medical Identifiers

Medical identifiers for Bumin Kong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497382220NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A178290 (California)Secondary
2081P2900XPhysical Medicine & Rehabilitation - Pain Medicine A178290 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bumin Kong allows following entities to bill medicare on his behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameSt Charles Spine Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780377283
PECOS PAC ID: 5496036550
Enrollment ID: O20170103001487

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bumin Kong is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bumin Kong,
11234 Anderson St,
Loma Linda, CA 92354-2804

Ph: () -		Bumin Kong,
558 Saint Charles Dr Ste 200,
Thousand Oaks, CA 91360-3968

Ph: (805) 379-2322

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Thousand Oaks, CA

Dr. Katrina S. Babcock, D.O.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 325 Rolling Oaks Dr Ste 220, Thousand Oaks, CA 91361
Phone: 805-379-9911    Fax: 805-379-0557

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.