Organization Active NPI

South Bay Family Medical Group

  • Family Medicine Physician
  • Torrance, CA
National Provider Identifier
1215966395
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTH BAY FAMILY MEDICAL GROUP
Practice address
3701 Skypark Dr
Suite 100
Torrance, CA 90505-4753
Phone
(310) 378-2234
Fax
(310) 378-9795
NPI assigned
Jul 1, 2006
Last updated
Apr 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
William Kim, MDNPI 1457302499
Title
Physician
Phone
(310) 378-2234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CA Primary
Internal Medicine Physician 207R00000X CA

Addresses

Primary practice location

3701 Skypark Dr
Suite 100
Torrance, CA 90505-4753

Mailing address

3105 Lomita Blvd
Torrance, CA 90505-5108
Phone (310) 784-4926

National Provider Directory

National Provider Directory

Locations

855 Manhattan Beach Blvd
Ste 102
Manhattan Beach, CA 90266
Phone (310) 374-9649

3105 Lomita Blvd
#1928
Torrance, CA 90505

3500 Lomita Blvd
Ste 203
Torrance, CA 90505
Phone (310) 326-0210

3701 Skypark Dr
Ste 100
Torrance, CA 90505
Phone (310) 378-2234

3701 Skypark Dr
Ste 101
Torrance, CA 90505
Phone (310) 378-2234

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1215966395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 LOMITA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055108",
            "telephone_number": "310-784-4926",
            "fax_number": "310-891-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 SKYPARK DR",
            "address_2": "SUITE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054753",
            "telephone_number": "310-378-2234",
            "fax_number": "310-378-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY FAMILY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-378-2234",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.