Thomas Kim, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

16264 Issued in CA

Practice address

2520 Cherry Ave Ste 288
Signal Hill, CA 90755-2032

Phone

(909) 345-0340

Fax

(909) 760-3459

NPI assigned

Apr 13, 2016

Last updated

Apr 25, 2024By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: thomas.kim@104097756413956.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrative Sports and Spine Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Irvine, CA
  • NPI 1245630557
  Medicare reassignment NPD
• Michael Decker, DO, Inc

  • Skilled Nursing Facility
  • Hermosa Beach, CA
  • NPI 1528410842
  Medicare reassignment NPD

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1235593427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 TERRACE LN W UNIT 6",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654562",
            "telephone_number": "626-808-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 CHERRY AVE STE 288",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552032",
            "telephone_number": "909-345-0340",
            "fax_number": "909-760-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "16264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Jordan
• Solomon Joseph, MPT
• Kaiser Foundation Health Plan Inc
• Karina Perez LMFT
• Lynn Keitz, FNP-C
• Warren Kim, LCSW
• Robert Thomas Kirk, O.D.
• Caroline Marie Kiss-Lee, MSW, ASW
• Seila Ko, O.D.
• Joshua Kotani

• Physical Medicine & Rehabilitation Physician in Signal Hill, CA
• Providers in Signal Hill, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.