Organization Active NPI

Kim Foot and Ankle Medical Centers of Long Beach, Inc

  • Non-Pharmacy Dispensing Site
  • Long Beach, CA
National Provider Identifier
1023487634
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
E3800 Issued in CA
Legal business name
KIM FOOT AND ANKLE MEDICAL CENTERS OF LONG BEACH, INC
Practice address
701 E 28TH St Ste 111
Long Beach, CA 90806-2715
Phone
(562) 426-2551
Fax
(888) 431-8819
NPI assigned
Sep 24, 2015
Organization subpart
Yes
Parent organization
KIM FOOT AND ANKLE MEDICAL CENTERS OF LONG BEACH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
S. Don Kim, D.P.M.
Title
Owner
Phone
(562) 426-2551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X E3800 CA Primary

Addresses

Primary practice location

701 E 28TH St Ste 111
Long Beach, CA 90806-2715

Mailing address

2980 N Beverly Glen Cir
Suite 100
Los Angeles, CA 90077-1726
Phone (310) 943-4180

National Provider Directory

National Provider Directory
Part of
Kim Foot and Ankle Med CL

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1023487634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST STE 111",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062715",
            "telephone_number": "562-426-2551",
            "fax_number": "888-431-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM FOOT AND ANKLE MEDICAL CENTERS OF LONG BEACH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIM FOOT AND ANKLE MEDICAL CENTERS OF LONG BEACH, INC.",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-426-2551",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "E3800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.