Kimiko Snider,M.D.,Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KIMIKO SNIDER,M.D.,INC

Practice address

1401 Avocado Ave Ste 608
Newport Beach, CA 92660-8719

Phone

(949) 640-4455

Fax

(949) 640-4456

NPI assigned

Jul 3, 2024

Organization subpart

No

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

Authorized official

Name

Kimiko Snider, MDNPI 1336343276

Title

Owner

Phone

(949) 514-4709

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimiko Marie Snider, M.D.

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1336343276
  Medicare reassignment NPD Authorized official
• Lori J Izabal, M.D.

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1114992328
  NPD
• Ali Reza Rafatjoo, M.D.

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1154341907
  NPD
• Cameron M Carlen, M.D.

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1740256221
  NPD (past)

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1083450530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 206",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607820",
            "telephone_number": "949-640-4455",
            "fax_number": "949-640-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 608",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608719",
            "telephone_number": "949-640-4455",
            "fax_number": "949-640-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMIKO SNIDER,M.D.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "KIMIKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-514-4709",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sook H Kim, D.O.
• Sora Kim, PHARM D.
• Suhyun Kim
• Sung Soo Kim, L.AC.
• Yang Ja Kim, M.D.
• Anthony Michael King II
• Connor King, DO
• Elaine King, MD
• Jennifer J. King, MD
• Joshua Ryan King

• Family Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.