Bumin Kong, is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Thousand Oaks, California. He went to University Of California, Geffen School Of Medicine and graduated in 2020 and has 5 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice St Charles Spine Institute and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497382220.
Physician's Profile
| Full Name | Bumin Kong |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 5 Years |
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| Location | 558 Saint Charles Dr Ste 200, Thousand Oaks, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Bumin Kong attended and graduated from University Of California, Geffen School Of Medicine in 2020
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.
| Identifier | Type | State | Issuer |
| 1497382220 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | A178290 (California) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | A178290 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| St Charles Spine Institute | 5496036550 | 5 |
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 Name | Faculty Physicians And Surgeons Of Llusm |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
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| Entity Name | St Charles Spine Institute |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780377283 PECOS PAC ID: 5496036550 Enrollment ID: O20170103001487 |
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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 Address | Practice 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 |
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