Organization Active NPI

Pacific Gastro Inc

  • Gastroenterology Physician
  • Irvine, CA
National Provider Identifier
1275447773
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
PACIFIC GASTRO INC
Practice address
268 Overbrook
Irvine, CA 92620-2169
Phone
(714) 388-6816
Fax
(832) 406-3968
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Ki-Yoon Kim, MD
Title
Owner
Phone
(714) 388-6816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

268 Overbrook
Irvine, CA 92620-2169

Mailing address

268 Overbrook
Irvine, CA 92620-2169
Phone (714) 388-6816

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1275447773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 OVERBROOK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202169",
            "telephone_number": "714-388-6816",
            "fax_number": "832-406-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 OVERBROOK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202169",
            "telephone_number": "714-388-6816",
            "fax_number": "832-406-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC GASTRO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KI-YOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-388-6816",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.