Individual provider Active NPI

Sarah Chong Kim, PA-C

  • Medical Physician Assistant
  • Irving, TX
National Provider Identifier
1083264766
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA12792 Issued in TX
Practice address
3501 N Macarthur Blvd Ste 330
Irving, TX 75062-3611
Phone
(972) 607-2340
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9112015 FL
Medical Physician Assistant 363AM0700X PA12792 TX Primary

Addresses

Primary practice location

3501 N Macarthur Blvd Ste 330
Irving, TX 75062-3611

Mailing address

2051 Wittington PL Apt 3116
Farmers Branch, TX 75234-1943

Other practice location 1

3212 Saint Ives Ct
Plano, TX 75075-3430
Phone (469) 789-4223

Other practice location 2

3501 N MacArthur Blvd
Irving, TX 75062-3651
Phone (972) 607-2340

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Sarah.kim@healthcareassociates.com Healthcare Associates of Texas

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9112015FLMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: sarah.kim@healthcareassociates.com

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1083264766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 WITTINGTON PL APT 3116",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752341943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD STE 330",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623611",
            "telephone_number": "972-607-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3212 Saint Ives Ct",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750753430",
            "country_code": "US",
            "telephone_number": "469-789-4223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 N MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750623651",
            "country_code": "US",
            "telephone_number": "972-607-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SARAH",
        "middle_name": "CHONG",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9112015",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA12792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sarah.kim@healthcareassociates.com",
            "affiliation": "Y",
            "affiliationName": "Healthcare Associates of Texas",
            "address_1": "6161 N State Highway 161",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750382220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.