Individual provider Active NPI

Alexis Hangin Kim, M.D.

  • Reproductive Endocrinology Physician
  • San Jose, CA
National Provider Identifier
1053411967
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
G81813 Issued in CA
Practice address
2581 Samaritan Dr
Suite 302
San Jose, CA 95124-4113
Phone
(408) 356-5000
Fax
(408) 356-8954
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X G81813 CA Primary

Addresses

Primary practice location

2581 Samaritan Dr
Suite 302
San Jose, CA 95124-4113

Mailing address

2350 W El Camino Real
Mountain View, CA 94040-6201
Phone (650) 934-7000

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
I20151028000104 CA Practitioner - EndocrinologyPractitioner - Obstetrics/Gynecology 4688983950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Obstetrics/Gynecology
Education
Vanderbilt University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, shared by 16 NPIs, 3,783 clinicians

Practice addresses (Care Compare)

2581 Samaritan Dr
Suite 302
San Jose, CA 95124-4112
Phone (408) 739-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G81813CAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Sep 5, 2015 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 5, 2015 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 5, 2015 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
County of Santa Clara Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
El Camino Hospital Past Accepting new patients

Locations

1950 University Ave
Ste 170
East Palo Alto, CA 94303
Phone (650) 322-1900

39650 Liberty St
Ste 420
Fremont, CA 94538
Phone (800) 597-2234

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

2350 W El Camino Real
Mountain View, CA 94040
Phone (408) 523-3103

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

2581 Samaritan Dr
Ste 308
San Jose, CA 95124
Phone (408) 355-1700

2581 Samaritan Dr
Ste 302
San Jose, CA 95124
Phone (408) 356-5000

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: akimmd174783@hisp.ehr.sutterhealth.org

Organizations & group practices 8

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1053411967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W EL CAMINO REAL",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940406201",
            "telephone_number": "650-934-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 SAMARITAN DR",
            "address_2": "SUITE 302",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244113",
            "telephone_number": "408-356-5000",
            "fax_number": "408-356-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ALEXIS",
        "middle_name": "HANGIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "G81813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.