LANDON KING (M.D.) – Surgery Physician, NPI 1104352509

LANDON KING (M.D.) is a healthcare provider. based in Orange, California. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. A186153 (CA). The NPI Number for LANDON KING (M.D.) is 1104352509

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
LANDON KING (M.D.)
NPI
1104352509
Phone
(800) 465-3203
Address
101 The City Dr S
Enumeration Date
4 May 2017
Last Update Date
12 September 2025

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
4073356950
Graduation Year
2017 (9 years ago)
PAC ID
4385992874
Group Practice PAC ID
5092240606
Professional Enrollment ID
I20240321002398
Address ID
CA923996437YU33404CIRX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness95
Years active:9State licenses:1Other names

3,317 GENERAL SURGERY in CA

Provider Addresses for LANDON KING (M.D.)

  • 101 The City Dr S

    Orange, CA 928683201

    Phone: (800) 465-3203

    Type: Location

  • 18523 Corwin Rd Ste A

    Apple Valley, CA 923072300

    Phone: (909) 712-2764

    Type: Location

  • Wisconsin Avenue, Brookdale, Bethesda, Montgomery County, Maryland, 20016-2137, United States

    BETHESDA, MD 208890004

    Phone: (301) 295-4440

    Type: Location

  • 200 MERCY CIRCLE

    OCEANSIDE, CA 92058

    Phone: (760) 719-3695

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240321002398IGeneral SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92868)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092240606View full group profile
NameSpecialtyState
Critical Care (Intensivists), General SurgeryCA
General SurgeryCA
General Surgery, General PracticeCA
Orthopedic SurgeryUT
General SurgeryCA
Orthopedic SurgerySD
General SurgeryWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm LANDON KING (M.D.)'s NPI?
Yes. LANDON KING (M.D.) is listed with NPI 1104352509 in the public NPI dataset.
Can I rely on LANDON KING (M.D.) being an active provider?
As of the registry snapshot, LANDON KING (M.D.) is marked active.
What healthcare role does LANDON KING (M.D.) hold?
Scheduling teams often label LANDON KING (M.D.) under Surgery Physician. Clinical services aligned with this taxonomy classification.
Does LANDON KING (M.D.) list a practice location?
Patients near Orange, California may find LANDON KING (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

1010 W. LAVETA AVE
NPI: 1659376622
5942, Florasaline Drive, Mebane, Orange County, North Carolina, 27302, United States
NPI: 1205838257

JAY K. HARNESS (M.D.)

Surgery Physician
Orange Post Office, 222-224, Summer Street, Orange, Orange City Council, New South Wales, 2800, Australia
NPI: 1477549426

DR. JAMES C JENG (MD)

Surgery Physician
333 City Blvd W Ste 1600
NPI: 1407847775
7261, Mercy Road, Omaha, Douglas County, Nebraska, 68124, United States
NPI: 1053382085

JOANNE P STARR (MD)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Ebonie Vincent, DPM - Orange County Podiatry, 1310, West Stewart Drive, Orange, Orange County, California, 92686, United States
NPI: 1720055163
210, West La Veta Avenue, Orange, Orange County, California, 92866, United States
NPI: 1548239098
2617, East Chapman Avenue, McPherson, Orange, Orange County, California, 92869, United States
NPI: 1992767321