Individual provider Active NPI

Janice H. Kim, M.D.

  • Pediatrics Physician
  • Napa, CA
National Provider Identifier
1053548446
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A114653 Issued in CA
Practice address
1141 Pear Tree LN
Napa, CA 94558-6484
Phone
(707) 254-1770
NPI assigned
Jun 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A114653 CA Primary

Addresses

Primary practice location

1141 Pear Tree LN
Napa, CA 94558-6484

Mailing address

1141 Pear Tree LN
Napa, CA 94558-6484
Phone (707) 254-1770

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
I20160219001379 CA Practitioner - Pediatric Medicine 0648420091 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ole Health CurrentSince Jan 18, 2016 Accepting new patients
Ole Health Current Accepting new patients
University of California San Francisco Pediatrics CurrentSince Jun 24, 2021 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 24, 2021 Accepting new patients
Ole Health CurrentSince Jan 18, 2016 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Jun 24, 2021 Accepting new patients
University of California San Francisco CurrentSince Jun 24, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 24, 2021 Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
University of California San Francisco Past Accepting new patients
UCSF Health Medical Foundation Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

3000 Colby St
Ste 301
Berkeley, CA 94705
Phone (510) 540-6800

2920 Telegraph Ave
Ste 200
Berkeley, CA 94705
Phone (510) 444-0790

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

1100 Trancas St
Ste 300
Napa, CA 94558
Phone (707) 257-4084

1141 Pear Tree Ln
Napa, CA 94558
Phone (707) 258-6128

1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

5220 Claremont Ave
Oakland, CA 94618
Phone (510) 428-3129

3838 California St
Rm 111
San Francisco, CA 94118
Phone (415) 221-6476

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

595 Buckingham Way
Ste 355
San Francisco, CA 94132
Phone (415) 566-2727

Interoperability endpoints

  • Direct secure messaging: jkim138940@hisp.ehr.sutterhealth.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1053548446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586484",
            "telephone_number": "707-254-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586484",
            "telephone_number": "707-254-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JANICE",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A114653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.