Active NPI
Whan Sil Kim, M.D.
- Internal Medicine Physician
- San Diego, CA
National Provider Identifier
1194891887
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Nov 20, 2013.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A35061
- Practice address
- 7825 Engineer Rd
Suite 101
San Diego, CA 92111-1924 - Phone
- (858) 277-7111
- Fax
- (858) 277-7667
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A35061 | CA | Primary |
Addresses
Primary practice location
7825 Engineer Rd
Suite 101
San Diego, CA 92111-1924
Mailing address
5042 Wilshire Blvd
Suite 620
Los Angeles, CA 90036-4305
Phone (213) 384-0077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A35061 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whan Sil Kim, M.D., Inc. | Internal Medicine | Past | Accepting new patients |
| Pro Wellness Diagnostic Services | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1952477648
Internal Medicine
-
- Sleep Medicine (Internal Medicine) Physician
- Studio City, CA
- NPI 1841423159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1194891887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5042 WILSHIRE BLVD",
"address_2": "SUITE 620",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364305",
"telephone_number": "213-384-0077",
"fax_number": "213-384-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7825 ENGINEER RD",
"address_2": "SUITE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111924",
"telephone_number": "858-277-7111",
"fax_number": "858-277-7667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "WHAN",
"middle_name": "SIL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A35061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.