Organization Active NPI

Janet B. Kim, M.D., Inc.

  • Allergy & Immunology Physician
  • Mission Viejo, CA
National Provider Identifier
1114007697
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
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

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Dr. Janet Bonnie Kim, MDNPI 1235451360
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)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20050211000722 CA Part B Supplier - Clinic/Group Practice 6002868676 Receives reassigned benefits from 1 practitioner
Practice locations: Mission Viejo, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.