Protestant John Calvin Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PROTESTANT JOHN CALVIN MEDICAL CENTER

Practice address

4305 Torrance Blvd Ste 208
Torrance, CA 90503-4418

Phone

(310) 710-7002

Fax

(213) 487-0124

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Calvin A. Kim, MDNPI 1538566047

Title

Ceo/Physician Director

Phone

(213) 352-1223

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Calvin A. Kim, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1538566047
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1194598383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 W 3RD ST STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203450",
            "telephone_number": "213-352-1223",
            "fax_number": "213-487-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 TORRANCE BLVD STE 208",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034418",
            "telephone_number": "310-710-7002",
            "fax_number": "213-487-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTESTANT JOHN CALVIN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO/PHYSICIAN DIRECTOR",
        "authorized_official_telephone_number": "213-352-1223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Proper Med
• Sara Props-Moyer
• Tatyana Prosolupova
• Prosperous Corp of America
• Prosthetic & Orthotic Group, Inc
• Stephen Erwin Prover, M.D.
• Providence Health System - Southern California
• Providence Health System Southern California
• Providence Health System Southern California
• Providence Health System Southern California

• Internal Medicine Physician in Torrance, CA
• Providers in Torrance, 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 Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.