Individual provider Active NPI

Jocelyn Kim-Dunlavey, MD

  • Ophthalmology Physician
  • Sacramento, CA
National Provider Identifier
1023403003
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A161358 Issued in CA
Practice address
651 Fulton Ave
Sacramento, CA 95825-4813
Phone
(916) 483-2525
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A161358 CA Primary

Addresses

Primary practice location

651 Fulton Ave
Sacramento, CA 95825-4813

Mailing address

651 Fulton Ave
Sacramento, CA 95825-4813
Phone (916) 483-2525

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190610002620 CA Practitioner - Ophthalmology 3173856945 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A161358CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Site Sacramento Medical Group, Inc Single Specialty Current Accepting new patients
Eye Site Sacramento Medical Group, Inc. Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
Griffin & Reed a Medical Corporation Single Specialty CurrentSince Dec 2, 2019 Accepting new patients
Sutter North Medical Foundation PastSince Dec 2, 2019 Accepting new patients

Locations

4925 J St
Sacramento, CA 95819
Phone (916) 452-8105

651 Fulton Ave
Sacramento, CA 95825
Phone (916) 483-2525

Interoperability endpoints

  • Direct secure messaging: jkimdunlavey454347@hisp.ehr.sutterhealth.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1023403003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 FULTON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254813",
            "telephone_number": "916-483-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 FULTON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254813",
            "telephone_number": "916-483-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM-DUNLAVEY",
        "first_name": "JOCELYN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A161358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.