Kimberly Hicks M D Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KIMBERLY HICKS M D INC

Practice address

3317 Elm St Ste 102
Oakland, CA 94609-3053

Phone

(510) 595-9880

Fax

(510) 595-9881

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Kimberly Hicks, MD

Title

Ceo

Phone

(510) 517-8005

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13916/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1114491743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 ELM ST STE 102",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093053",
            "telephone_number": "510-595-9880",
            "fax_number": "510-517-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 ELM ST STE 102",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093053",
            "telephone_number": "510-595-9880",
            "fax_number": "510-595-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY HICKS M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-517-8005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972661254",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Kim
• Wi Lee Lee Kim, N.P.
• Wonha Kim
• Patience Kimaro
• Laura Marie Kimbell, M.A., PSYD
• Akira Kimble
• Alissa Warren Kimmell
• Ronald C. Kimmons, PSYD, MSW, MA
• Ciara Kimoto, IMF
• Yoshiko Kimura, MHRS

• Internal Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.