Active NPI
Gene Ho Kim, MD
- Dermatopathology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- A104201
- Practice address
- 1450 San Pablo St Ste 2000
Los Angeles, CA 90033-4500 - Phone
- (323) 442-6200
- NPI assigned
- Jan 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | A104201 | CA | Primary |
Addresses
Primary practice location
1450 San Pablo St Ste 2000
Los Angeles, CA 90033-4500
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-6200
Other practice location 1
2011 Zonal Ave
Suite 209
Los Angeles, CA 90089-0110
Phone (323) 442-2582
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gene.kim@direct.usc.edu | Direct | USC CARE MEDICAL GROUP, INC |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Indiana University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1450 San Pablo St
Los Angeles, CA 90033-4500
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444
1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273
1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273
2011 Zonal Ave
Los Angeles, CA 90089-1016
Phone (323) 442-1156
Hospital & facility affiliations
- Keck Hospital of Usc
- Usc Kenneth Norris Jr Cancer Hospital
- Huntington Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 49 |
| Skin biopsy | 52 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Dermatology | Current | Accepting new patients |
| University Pathology Associates, Inc. | Past | Accepting new patients | |
| Orbuch, Brand Dermatology Associates LLP | Dermatology | Past | Accepting new patients |
| University Dermatology, Inc. | Dermatology | Past | Accepting new patients |
Locations
2011 Zonal Ave
Los Angeles, CA 90089
Phone (626) 457-4136
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
1450 San Pablo St
Ste 2000
Los Angeles, CA 90033
Phone (323) 221-3270
2011 Zonal Ave
Ste 209
Los Angeles, CA 90089
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- Anatomic Pathology & Clinical Pathology Physician
- Los Angeles, CA
- NPI 1952325565
-
- MOHS-Micrographic Surgery Physician
- Bethpage, NY
- NPI 1992785117
Dermatology
-
- Dermatology Physician
- Indianapolis, IN
- NPI 1033159405
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1013514199
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417554528
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1144208182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "323-442-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 SAN PABLO ST STE 2000",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900334500",
"telephone_number": "323-442-6200"
}
],
"practiceLocations": [
{
"address_1": "2011 Zonal Ave",
"address_2": "Suite 209",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900890110",
"country_code": "US",
"telephone_number": "323-442-2582",
"fax_number": "323-442-2588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "GENE",
"middle_name": "HO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2023-11-27",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "CA",
"license": "A104201",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gene.kim@direct.usc.edu",
"affiliation": "Y",
"affiliationName": "USC CARE MEDICAL GROUP, INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1450 San Pablo St Ste 2000",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900334500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.