Active NPI
Doo Soo Kim
- Massage Therapist
- Ridgecrest, CA
National Provider Identifier
1275400731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 36971
- Practice address
- 225 W Ridgecrest Blvd
Ridgecrest, CA 93555-4010 - Phone
- (310) 307-0719
- Fax
- (818) 279-0658
- NPI assigned
- Oct 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 36971 | CA | Primary |
Addresses
Primary practice location
225 W Ridgecrest Blvd
Ridgecrest, CA 93555-4010
Mailing address
9301 Tampa Ave SPC 565
Northridge, CA 91324-2503
Phone (310) 307-0719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36971 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gemini Therapeutic Solutions | Massage Therapist | Current | Accepting new patients |
Locations
9301 Tampa Ave
Spc 565
Northridge, CA 91324
Phone (310) 307-0719
Organizations & group practices 1
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": "1760918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1275400731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 TAMPA AVE SPC 565",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913242503",
"telephone_number": "310-307-0719",
"fax_number": "818-279-0658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 W RIDGECREST BLVD",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935554010",
"telephone_number": "310-307-0719",
"fax_number": "818-279-0658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DOO",
"middle_name": "SOO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "36971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgecrest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.