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

Mimmie Kwong, MD

Individual provider Vascular Surgery Physician · NPI 1417392663

Mimmie Kwong, MD is a Vascular Surgery in Sacramento, California. Graduated from Johns Hopkins University School of Medicine in 2014, 12 years ago. Practices with Regents of the Univ of Ca, a 1,578-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
12
Trained at
Johns Hopkins University School of Medicine
Licensed in
CA
In the registry since
2013
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

4860 Y St Ste 2100
Sacramento, CA 95817-2307
Phone: (916) 734-3800
Fax: (916) 734-3801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence A140004 (CA)

Record details

NPI number1417392663
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2013
Last updated in NPPESOctober 7, 2019

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Regents Of The Univ Of Ca — 1578 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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