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

Dr. Hyoungtae Edward Kwon, MD

Individual provider Anesthesiology Physician · NPI 1649634999

Dr. Hyoungtae Edward Kwon, MD is an Anesthesiology in Santa Monica, California. Graduated from Icahn School of Medicine at Mount Sinai in 2016, 10 years ago. Practices with Bayside Anesthesia Medical Group, a 48-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
CA
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone: (310) 829-5511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1111 Amsterdam Ave, New York, NY 10025-1716 — (212) 523-2154

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A179499 (CA)

Record details

NPI number1649634999
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2016
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2016 (10 years in practice)
Group practice Bayside Anesthesia Medical Group — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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