Jay & Sun Kim Professional Corporation

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

00A380850 Issued in CA

Legal business name

JAY & SUN KIM PROFESSIONAL CORPORATION

Practice address

9905 Bace Ave
Bakersfield, CA 93307-6211

Phone

(661) 831-1100

Fax

(661) 831-8279

NPI assigned

Jul 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Joo R Kim, M.D.

Title

Owner

Phone

(661) 831-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1114230315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 BACE AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933076211",
            "telephone_number": "661-831-1100",
            "fax_number": "661-831-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 BACE AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933076211",
            "telephone_number": "661-831-1100",
            "fax_number": "661-831-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY & SUN KIM PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-831-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "00A380850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A380850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Jauch
• Stephanie Jauregui-Murillo
• Javier E. Miro, M.D., Inc
• Katherine Napiza Javier, OTR/L
• Gurpreet Singh Jawanda, FNP
• Preshiss Elizabeth Jaymes
• Hongkeun Jee, RPH
• Bailey Jeffcoat
• Journee Lasha Jeffers
• Sally Jeffers

• Exclusive Provider Organization in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.