Individual provider Active NPI

Kristina Jin Kim, D.O.

  • Family Medicine Physician
  • Benicia, CA
National Provider Identifier
1194993923
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A10311 Issued in CA
Practice address
1440 Military W
Benicia, CA 94510-2451
Phone
(707) 745-0711
NPI assigned
Feb 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A10311 CA Primary

Addresses

Primary practice location

1440 Military W
Benicia, CA 94510-2451

Mailing address

1440 Military W
Benicia, CA 94510-2451
Phone (707) 745-0711

Other practice location 1

5925 W Las Positas Blvd Ste 100
Pleasanton, CA 94588-8537
Phone (925) 462-1755

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080617000192 CA Practitioner - Family Practice 5991739344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Health Center of BeniciaGroup PAC ID 2860403474, 3 clinicians

Practice addresses (Care Compare)

1440 Military W
Suite 101
Benicia, CA 94510-2446
Phone (707) 745-0711

Hospital & facility affiliations

  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • Sutter Solano Medical Center Hospital, Vallejo, CA, CCN 050101

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
99.31
Promoting interoperability
99
Improvement activities
40
Cost
81.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center of Benicia Family Medicine CurrentSince Sep 8, 2009 Accepting new patients
Oak Spring Medical Group Inc Past Accepting new patients
Condell Medical Center Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

1440 Military W
Ste 101
Benicia, CA 94510
Phone (707) 745-0711

1440 Military W
Benicia, CA 94510
Phone (707) 341-7962

Interoperability endpoints

  • Direct secure messaging: kkim25678@hpmg.direct-ci.net

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1194993923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 MILITARY W",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102451",
            "telephone_number": "707-745-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 MILITARY W",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102451",
            "telephone_number": "707-745-0711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5925 W Las Positas Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945888537",
            "country_code": "US",
            "telephone_number": "925-462-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "KRISTINA",
        "middle_name": "JIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A10311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benicia, CA

Sources for this page

Verify at the official NPI Registry.