Active NPI
Sangwoo Shawn Kim, MD
- Radiation Oncology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- A187714
- Practice address
- 200 W Arbor Dr
San Diego, CA 92103-9000 - Phone
- (800) 926-8273
- Fax
- (888) 539-8781
- NPI assigned
- Mar 26, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Radiation Oncology Physician | 2085R0001X | A187714 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Mailing address
File 57326
Los Angeles, CA 90074-7326
Phone (800) 926-8273
Other practice location 1
4077 Fifth Ave # Mer35
San Diego, CA 92103-2105
Phone (916) 276-5059
Other practice location 2
16918 Dove Canyon Rd Ste 103
San Diego, CA 92127-3455
Phone (858) 649-5100
Other practice location 3
1200 Garden View Rd
Encinitas, CA 92024-2477
Phone (800) 926-8273
Other practice location 4
3855 Health Sciences Dr
LA Jolla, CA 92093-3455
Phone (800) 926-8273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of California, San Diego School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 Garden View Rd
Suite 210
Encinitas, CA 92024-2475
Phone (800) 926-8273
3855 Health Sciences Dr
La Jolla, CA 92093-1503
Phone (800) 926-8273
447 N El Camino Real
Encinitas, CA 92024-1302
Phone (858) 657-7000
9300 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273
9350 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A187714 | CA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Cancer Associates for Research and Excellence Inc | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Regents of the University of California | Radiation Oncology | Current | Accepting new patients |
| California Cancer Associates for Research and Excellence Inc | Radiation Oncology | Current | Accepting new patients |
Locations
1200 Garden View Rd
Encinitas, CA 92024
Phone (760) 536-7682
3855 Health Sciences Dr
La Jolla, CA 92093
Phone (858) 822-6094
File 57326
Los Angeles, CA 90074
16918 Dove Canyon Rd
Ste 103
San Diego, CA 92127
Phone (858) 649-5100
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
4077 5th Ave
#35
San Diego, CA 92103
Phone (619) 260-7220
Interoperability endpoints
- skim375490@scrippshlth.medalliesdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
Radiation Oncology
-
- Hematology & Oncology Physician
- Fresno, CA
- NPI 1083661607
Radiation Oncology
-
- Hematology & Oncology Physician
- Fresno, CA
- NPI 1902359425
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1013544139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 57326",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900747326",
"telephone_number": "800-926-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039000",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781"
}
],
"practiceLocations": [
{
"address_1": "4077 Fifth Ave # Mer35",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921032105",
"country_code": "US",
"telephone_number": "916-276-5059",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16918 Dove Canyon Rd Ste 103",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921273455",
"country_code": "US",
"telephone_number": "858-649-5100",
"fax_number": "858-649-5099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Garden View Rd",
"address_purpose": "LOCATION",
"city": "Encinitas",
"state": "CA",
"postal_code": "920242477",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3855 Health Sciences Dr",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920933455",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "SANGWOO",
"middle_name": "SHAWN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-26",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "A187714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.