Bum Kwak, PA
NPI 1093505257 · Physician Assistant · Los Angeles, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bum Kwak, PA is a Physician Assistant provider in Los Angeles, CA (NPI 1093505257).
Provider details
- NPI number
- 1093505257
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-10
- Last updated
- 2025-05-10
- Certified
- 2025-05-10
Frequently asked questions
- What is Bum Kwak's NPI number?
- Bum Kwak's National Provider Identifier (NPI) is 1093505257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bum Kwak's specialty?
- Bum Kwak is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bum Kwak located?
- Bum Kwak's practice location on file with NPPES is 966 S Westmoreland Ave Apt 1, Los Angeles, CA 90006-5611.
- What is Bum Kwak's phone number?
- The practice phone number listed in the NPPES registry for Bum Kwak is (315) 804-1825.
- Does Bum Kwak accept Medicare?
- Bum Kwak is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bum Kwak's NPI active?
- Yes — Bum Kwak's NPI (1093505257) is active in the NPPES registry as of the last update on 2025-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.