Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bumin Kong

Individual provider Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1497382220

Bumin Kong is a Pain Management in Thousand Oaks, California. Graduated from University of California, Irvine, California College of Medicine in 2020, 6 years ago. Practices with St Charles Spine Institute, a 6-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Trained at
University of California, Irvine, California College of Medicine
Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

558 Saint Charles Dr Ste 200
Thousand Oaks, CA 91360-3968
Phone: (805) 379-2322
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 Newbury Rd, Thousand Oaks, CA 91320-6434 — (805) 379-2322

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence A178290 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A178290 (CA)

Record details

NPI number1497382220
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2020
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Medical schoolUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice St Charles Spine Institute — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Thousand Oaks