Individual provider Active NPI

Rheela Kim, O.D.

  • Optometrist
  • Costa Mesa, CA
National Provider Identifier
1245785484
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33571 Issued in CA
Practice address
3140 Bear St
Costa Mesa, CA 92626-2964
Phone
(714) 557-2020
NPI assigned
Aug 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33571 CA Primary

Addresses

Primary practice location

3140 Bear St
Costa Mesa, CA 92626-2964

Mailing address

1 League
#62601
Irvine, CA 92602-7204

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161219001397 CA Practitioner - Optometry 1052692647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel C. Kline, M.D., Inc.Group PAC ID 0143308346, 6 clinicians

Practice addresses (Care Compare)

9 Corporate Park
Suite 150
Irvine, CA 92606-5172
Phone (949) 653-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel C. Kline, M.D., Inc. CurrentSince Sep 15, 2025 Accepting new patients
St Joseph Hospital of Orange PastSince Jul 1, 2020 Accepting new patients

Locations

9 Corporate Park
Ste 150
Irvine, CA 92606
Phone (949) 653-9500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1245785484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LEAGUE",
            "address_2": "#62601",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926027204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 BEAR ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262964",
            "telephone_number": "714-557-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "RHEELA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.