Active NPI
Rachel Kim, OD
- Optometrist
- Garden Grove, CA
National Provider Identifier
1073495487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 36078
- Practice address
- 8942 Garden Grove Blvd Ste 104
Garden Grove, CA 92844-3332 - Phone
- (714) 638-0852
- NPI assigned
- Jul 24, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 36078 | CA | Primary |
Addresses
Primary practice location
8942 Garden Grove Blvd Ste 104
Garden Grove, CA 92844-3332
Mailing address
8942 Garden Grove Blvd Ste 104
Garden Grove, CA 92844-3332
Phone (714) 638-0852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1073495487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8942 GARDEN GROVE BLVD STE 104",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928443332",
"telephone_number": "714-638-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8942 GARDEN GROVE BLVD STE 104",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928443332",
"telephone_number": "714-638-0852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "RACHEL",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-07-24",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "36078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.