Sang Yup Kim, D.P.M

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E5105 Issued in CA

Practice address

5451 La Palma Ave Ste 26
La Palma, CA 90623-1730

Phone

(714) 735-8588

Fax

(562) 249-8443

NPI assigned

Jul 9, 2011

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Foot and Ankle Medical CenterGroup PAC ID 6507180973, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ace Home Health, Inc. Home health agency, Los Angeles, CA, CCN 058082

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Southern California Foot and Ankle Medical Center

  • Foot & Ankle Surgery Podiatrist
  • La Palma, CA
  • NPI 1528462694
  Medicare reassignment Care Compare group NPD Authorized official
• Family Foot Center Podiatry Group Inc.

  • Podiatrist
  • Ontario, CA
  • NPI 1235332396
  Medicare reassignment NPD
• Vascular Interventional Group, Inc.

  • Vascular & Interventional Radiology Physician
  • Huntington Park, CA
  • NPI 1508363714
  Medicare reassignment NPD
• Southern California Foot and Ankle Medical Center

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
  • NPI 1134650500
  NPD Authorized official
• Cha Hollywood Medical Center, LP

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1922033547
  NPD (past)
• Michael D. Kotzen, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Valley Village, CA
  • NPI 1013105972
  NPD (past)

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

• Ace Home Health, Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1205808326
  Care Compare affiliation

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

{
    "created_epoch": "1310169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1245527340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE STE 26",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231730",
            "telephone_number": "714-735-8588",
            "fax_number": "562-249-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE STE 26",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231730",
            "telephone_number": "714-735-8588",
            "fax_number": "562-249-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SANG",
        "middle_name": "YUP",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-09",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyung Jik Kim, LAC
• Jeong Moon Kim, OPTICIAN
• Jihee Kim, FNP
• Jonathan W Kim, MD
• Jongjin Kim, M.D.
• Sun Hui Kim, R.PH.
• Sunghee Park Kim
• Kind Intervention Direct Services, Inc.
• Jaime Cherise Kirchner, M.A., ED.S., PPS
• Jodie Marie Knott, PHD

• Foot & Ankle Surgery Podiatrist in La Palma, CA
• Providers in La Palma, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.