KUSH MEDICAL GROUP
KUSH MEDICAL GROUP is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104958784, based in Gardena, CA. The organization lists 4 taxonomy classifications, with Pain Medicine (Anesthesiology) Physician recorded as primary.
Getting there
The practice address on file is 14015 VAN NESS AVE # 10, Gardena, CA 90249. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| A45536 | CA | Pain Medicine (Anesthesiology) Physician primary |
| A45536 | CA | Family Medicine Physician |
| A45536 | CA | Pediatrics Physician |
| A45536 | CA | Interventional Pain Medicine Physician |
This provider holds licence A45536 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Pain Medicine covers
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. NUCC Health Care Provider Taxonomy, code 207LP2900X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207LP2900X | Pain Medicine (Anesthesiology) Physician Pain Medicine | A45536 | CA | primary |
| 207Q00000X | Family Medicine Physician | A45536 | CA | |
| 208000000X | Pediatrics Physician | A45536 | CA | |
| 208VP0014X | Interventional Pain Medicine Physician Interventional Pain Medicine | A45536 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1104958784 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 10, 2007 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
14015 VAN NESS AVE # 10 Gardena, CA 90249 (310) 327-7682 Fax (310) 327-7765 |
| Mailing address |
PO BOX 6299 Torrance, CA 90504 |
| Other identifiers |
00A455361
(CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 9 | 5 | 8 | 7 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 9 | 5 | 7 | 7 | 7 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.