Sue Kim, DNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95027678 Issued in CA

Practice address

2331 Montpelier Dr Ste 20
San Jose, CA 95116-1688

Phone

(847) 942-8586

NPI assigned

Nov 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infusion Express of California IncGroup PAC ID 2365720604, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Infusion Express of California Inc

  • Infusion Therapy Clinic/Center
  • Fremont, CA
  • NPI 1447604525
  Medicare reassignment Care Compare group NPD
• Aleracare Medical Group of California

  • Multi-Specialty Clinic/Center
  • Van Nuys, CA
  • NPI 1386286581
  Medicare reassignment NPD
• Aleracare Medical Group of California, a Medical Corporation

  • Multi-Specialty Clinic/Center
  • Stockton, CA
  • NPI 1164395117
  NPD

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1093588832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8516 MARMORA AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 MONTPELIER DR STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161688",
            "telephone_number": "847-942-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209028584",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95027678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Suin Kim, LCSW
• SE Yoon Kim
• Seunghee Kim, MD
• Sewon Kim, L. AC.
• Shinwon Kim, LAC
• Suejin Son Kim, MD
• Sunyeon Kim
• Susie Kim
• Tiadora Kim, PSYD
• Yeon Ji Kim

• Acute Care Nurse Practitioner in San Jose, CA
• Providers in San Jose, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.