Janet Bonnie Kim, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

G82040 Issued in CA

Practice address

26302 La Paz Rd #106
Ste 106
Mission Viejo, CA 92691-5380

Phone

(949) 328-9972

Fax

(949) 328-9976

NPI assigned

Feb 16, 2010

Sex

Female

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

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

Specialty

Allergy/ImmunologyAlso: Internal Medicine

Education

Boston University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: janetkim@clchc.allscriptsdirect.net
• Direct secure messaging: janet.kim.p1@direct.kcs.nextgenshare.com

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.

• Janet B. Kim, M.D., Inc.

  • Allergy & Immunology Physician
  • Mission Viejo, CA
  • NPI 1114007697
  Medicare reassignment NPD Authorized official
• Celebrating Life Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Mission Viejo, CA
  • NPI 1386273100
  NPD
• Mission Pediatric Medical Clinic, Inc.

  • Pediatrics Physician
  • Mission Viejo, CA
  • NPI 1538234646
  NPD (past)

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1235451360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD #106",
            "address_2": "STE 106",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915380",
            "telephone_number": "949-328-9972",
            "fax_number": "949-328-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD #106",
            "address_2": "STE 106",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915380",
            "telephone_number": "949-328-9972",
            "fax_number": "949-328-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JANET",
        "middle_name": "BONNIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G82040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duke D Kim, MD
• Esther Kim
• Fred Kim, DPT
• Gina Kim
• Hyun Yil Henry Kim, DMD
• Jessica Y Kim, D.O.
• Joanne Yoo Kim, PA-C
• Keun-Young Anthony Kim, M.D.
• Lois Sunglim Kim, L.AC
• Minji Kim, FNP-C

• Allergy & Immunology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.