YOUNG J. KWAK (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1922443464

YOUNG J. KWAK (M.D.) is a healthcare provider. based in Long beach, California. specializing in DERMATOLOGY, MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). They hold the professional credentials M.D.. They hold a License No. A165830 (CA). The NPI Number for YOUNG J. KWAK (M.D.) is 1922443464

Main info

Male
13 Years Of Experience
Name
YOUNG J. KWAK (M.D.)
NPI
1922443464
Phone
(562) 999-3483
Address
2921 PALO VERDE AVE STE 102
Enumeration Date
9 May 2013
Last Update Date
13 March 2026

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9497061469
Graduation Year
2013 (13 years ago)
PAC ID
8820222011
Group Practice PAC ID
7416192323
Professional Enrollment ID
I20200310001951
Address ID
CA926633681NE500XXAVEX301

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
Experience55
Completeness95
Years active:13State licenses:1Other names

2,140 DERMATOLOGY in CA

Provider Addresses for YOUNG J. KWAK (M.D.)

  • 2921 PALO VERDE AVE STE 102

    LONG BEACH, CA 908151561

    Phone: (562) 999-3483

    Fax: (562) 262-2215

    Type: Mailing

  • 3828 SCHAUFELE AVE STE 300

    LONG BEACH, CA 908081793

    Phone: (562) 997-1144

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 86 Open Payments records for all available years, with a total value of $2,197.

Total Amount is formed as General ($2,197) + Research ($0) + Ownership ($0) = $2,197.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($488).

Total Amount

$2,197

General + Research + Ownership

Payments

86

Total payment records

General Amount

$2,197

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-03-10

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
I20200310001951IDermatologyCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths27050$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks147127$0
17000Destruction of precancer skin growth, 1 growth8373$0
99213Established patient office or other outpatient visit, 20-29 minutes8070$0
11102Biopsy of related skin growth, first growth7470$0
View full utilization report →

Insurance plans in this area (ZIP 90815)

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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: 7416192323View full group profile
NameSpecialtyState
Physician AssistantCA
Physician AssistantMI
Dermatology, Micrographic Dermatologic Surgery (Mds), Micrographic Dermatologic Surgery (Mds), DermatologyCA
D E R M A T O L O G YCA
Physician AssistantCA

Reviews

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Frequently asked questions

What number should I use to identify YOUNG J. KWAK (M.D.) for billing?
Administrative and clinical systems typically use NPI 1922443464 for YOUNG J. KWAK (M.D.).
Does the public listing show YOUNG J. KWAK (M.D.) as active?
YOUNG J. KWAK (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say YOUNG J. KWAK (M.D.) does?
Insurance directories may phrase it differently, but here YOUNG J. KWAK (M.D.) maps to MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to YOUNG J. KWAK (M.D.)?
The directory associates YOUNG J. KWAK (M.D.) with Long Beach, California. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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