Active NPI
Janet B. Kim, M.D., Inc.
- Allergy & Immunology Physician
- Mission Viejo, CA
National Provider Identifier
1114007697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- JANET B. KIM, M.D., INC.
- Practice address
- 26302 La Paz Rd #106
Mission Viejo, CA 92691-5380 - Phone
- (949) 328-9972
- Fax
- (949) 328-9976
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Janet Bonnie Kim, MD
- Title
- Owner
- Phone
- (949) 328-9972
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | CA | Primary |
Addresses
Primary practice location
26302 La Paz Rd #106
Mission Viejo, CA 92691-5380
Mailing address
26302 La Paz Rd #106
Mission Viejo, CA 92691-5380
Phone (949) 328-9972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
705 9th St
#101
Florence, OR 97439
Phone (541) 997-2285
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Mission Viejo, CA
- NPI 1235451360
-
- Pediatric Allergy/Immunology Physician
- Mission Viejo, CA
- NPI 1780690636
-
- Physical Medicine & Rehabilitation Physician
- Mission Viejo, CA
- NPI 1932260429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701216000000",
"number": "1114007697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26302 LA PAZ RD #106",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915380",
"telephone_number": "949-328-9972",
"fax_number": "949-328-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26302 LA PAZ RD #106",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915380",
"telephone_number": "949-328-9972",
"fax_number": "949-328-9976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANET B. KIM, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "BONNIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-328-9972",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.