NPIMap

Individual provider Active NPI

Emily Kim

  • Infectious Disease Physician
  • Murrieta, CA
National Provider Identifier
1245766088
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A162339 Issued in CA
Practice address
28078 Baxter Rd Ste 320
Murrieta, CA 92563-1404
Phone
(951) 679-5811
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Infectious Disease Physician 207RI0200X A162339 CA Primary

Addresses

Primary practice location

28078 Baxter Rd Ste 320
Murrieta, CA 92563-1404

Mailing address

28078 Baxter Rd Ste 320
Murrieta, CA 92563-1404
Phone (951) 679-5811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230505001916 CA Practitioner - Infectious Disease 3274998752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Loma Linda University School of Medicine, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Med-Ped I D IncorporatedGroup PAC ID 0345292769, 3 clinicians

Practice addresses (Care Compare)

28078 Baxter Rd
Suite 320
Murrieta, CA 92563-1404
Phone (951) 679-5811

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A162339CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med-Ped I D Incorporated Infectious Disease CurrentSince Jan 1, 2023 Accepting new patients
Med-Ped I D Incorporated CurrentSince Jan 1, 2023 Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Hemet Valley Medical Center Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients

Locations

28078 Baxter Rd
Ste 320
Murrieta, CA 92563
Phone (951) 246-4546

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ekim81363@direct.llu.edu

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 5

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1245766088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD STE 320",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631404",
            "telephone_number": "951-679-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD STE 320",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631404",
            "telephone_number": "951-679-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A162339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.