Active NPI
Sarah Chong Kim, PA-C
- Medical Physician Assistant
- Irving, TX
National Provider Identifier
1083264766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA12792
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA9112015 | FL | MD | Medical Physician Assistant |
Interoperability endpoints
- 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.