David Christian King, PA-C, MPA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

19122 Issued in CA

Practice address

20103 Lake Chabot Rd
Castro Valley, CA 94546-5305

Phone

(510) 889-5015

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NM2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

90.02 of 100Reported as group

Quality

86.32

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.king.1@2956.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Taos Health Systems Inc Holy Cross Hospital

  dba Holy Cross Hospital

  • General Acute Care Hospital
  • Taos, NM
  • NPI 1194751958
  Medicare reassignment NPD
• Eden Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Castro Valley, CA
  • NPI 1891786240
  Medicare reassignment

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1164645636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 62ND ST",
            "address_2": "APT 107",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181280",
            "telephone_number": "510-759-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20103 LAKE CHABOT RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465305",
            "telephone_number": "510-889-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DAVID",
        "middle_name": "CHRISTIAN",
        "credential": "PA-C, MPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "19122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Kim, M.D.
• Kwang Hyeon Kim
• Jennifer Christine Kimball, PT
• Leah Kimble-Price, MS, LMFT
• Alexis King-Gallman, LCSW
• Genevieve Ashcom King, M. D.
• Kiran Khemani, DDS, Inc (Valley View Dental)
• Suzanne Leilani Kirby, OTR
• Jamaal E Kizziee, LMFT
• Jacqueline Rose Klippenes, LMFT

• Physician Assistant in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.

Verify at the official NPI Registry.