Active NPI
Richard B Kim MD Ms Inc.
- Neurological Surgery Physician
- Newport Beach, CA
National Provider Identifier
1265801476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- G84650
- Legal business name
- RICHARD B KIM MD MS INC.
- Practice address
- 3501 Jamboree Rd
Suite 1250
Newport Beach, CA 92660-2939 - Phone
- (949) 988-7855
- NPI assigned
- Sep 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard B Kim, MD, MS
- Title
- President
- Phone
- (949) 988-7855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | G84650 | CA | Primary |
Addresses
Primary practice location
3501 Jamboree Rd
Suite 1250
Newport Beach, CA 92660-2939
Mailing address
3501 Jamboree Rd
Suite 1250
Newport Beach, CA 92660-2939
Phone (949) 988-7855
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442448000000",
"number": "1265801476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 JAMBOREE RD",
"address_2": "SUITE 1250",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602939",
"telephone_number": "949-988-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 JAMBOREE RD",
"address_2": "SUITE 1250",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602939",
"telephone_number": "949-988-7855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD B KIM MD MS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-17",
"last_updated": "2015-09-17",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-988-7855",
"authorized_official_credential": "MD, MS"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "CA",
"license": "G84650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.