Individual provider Active NPI

Jaehyun Kim, DPM

  • Foot Surgery Podiatrist
  • Sunnyvale, CA
National Provider Identifier
1144582842
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E5028 Issued in CA
Practice address
500 E Remington Dr
28
Sunnyvale, CA 94087-2657
Phone
(510) 508-8653
NPI assigned
Jun 9, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X E5028 CA Primary

Addresses

Primary practice location

500 E Remington Dr
28
Sunnyvale, CA 94087-2657

Mailing address

1821 15TH St Apt 2
San Francisco, CA 94103-5539
Phone (510) 508-8653

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130628000313 CA Practitioner - Podiatry 1557515152 Practice locations: Sunnyvale, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 E Remington Dr
Sunnyvale, CA 94087-2612
Phone (408) 203-3821

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue82
Removal or shaving of skin growth54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Foot and Ankle Medical Clinic Current Accepting new patients
Ace Foot and Ankle Medical Clinic Current Accepting new patients

Locations

490 Post St
Ste 1701
San Francisco, CA 94102
Phone (415) 523-5235

333 W El Camino Real
Ste 315
Sunnyvale, CA 94087
Phone (310) 739-0424

500 E Remington Dr
Ste 29
Sunnyvale, CA 94087
Phone (408) 203-3821

Interoperability endpoints

  • Direct secure messaging: jkim226776@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1339200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1144582842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 15TH ST APT 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941035539",
            "telephone_number": "510-508-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E REMINGTON DR",
            "address_2": "28",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872657",
            "telephone_number": "510-508-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAEHYUN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-09",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E5028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.