Active NPI
Jocelyn Kim-Dunlavey, MD
- Ophthalmology Physician
- Sacramento, CA
National Provider Identifier
1023403003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A161358
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A161358 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Site Sacramento Medical Group, Inc | Single Specialty | Current | Accepting new patients |
| Eye Site Sacramento Medical Group, Inc. | Single Specialty | Current | Accepting new patients |
| Griffin & Reed a Medical Corporation | Single Specialty | Current | Accepting new patients |
| Sutter North Medical Foundation | Past | 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
- 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.
-
- Eyewear Supplier
- Sacramento, CA
- NPI 1578866893
Single Specialty
-
- Corneal and Contact Management Optometrist
- Sacramento, CA
- NPI 1487707667
Single Specialty
-
- Ophthalmologic Surgery Clinic/Center
- Sacramento, CA
- NPI 1134140346
Single Specialty
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.