Individual provider Active NPI

Casimir Christian Klim, MD

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1245869312
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A193189 Issued in CA
Practice address
6950 65TH St
Sacramento, CA 95823-2316
Phone
(916) 393-1222
Fax
(916) 393-4512
NPI assigned
Apr 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A193189 CA Primary

Addresses

Primary practice location

6950 65TH St
Sacramento, CA 95823-2316

Mailing address

6950 65TH St
Sacramento, CA 95823-2316
Phone (916) 393-1222

Other practice location 1

1276 Halyard Dr
West Sacramento, CA 95691-3412
Phone (916) 454-2345

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250120000138 CA Practitioner - Psychiatry 3577987023 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A193189CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elica Health Centers Current Accepting new patients
Elica Health Centers CurrentSince Jan 15, 2025 Accepting new patients
Elica Health Centers CurrentSince Jan 15, 2025 Accepting new patients

Locations

3701 J St
Ste 201
Sacramento, CA 95816

1860 Howe Ave
Ste 440
Sacramento, CA 95825

1750 Wright St
Ste 1
Sacramento, CA 95825

1276 Halyard Dr
West Sacramento, CA 95691
Phone (530) 865-5544

155 15th St
Ste A
West Sacramento, CA 95691
Phone (916) 375-8981

Interoperability endpoints

  • Direct secure messaging: casimir.klim.1@28772.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1245869312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 65TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232316",
            "telephone_number": "916-393-1222",
            "fax_number": "916-393-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 65TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232316",
            "telephone_number": "916-393-1222",
            "fax_number": "916-393-4512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1276 Halyard Dr",
            "address_purpose": "LOCATION",
            "city": "West Sacramento",
            "state": "CA",
            "postal_code": "956913412",
            "country_code": "US",
            "telephone_number": "916-454-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLIM",
        "first_name": "CASIMIR",
        "middle_name": "CHRISTIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A193189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.