NPIMap

Individual provider Active NPI

Frank H Kim, M.D.

  • Urology Physician
  • Corona, CA
National Provider Identifier
1285627224
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G87046 Issued in CA
Practice address
801 S Main St Ste 201
Corona, CA 92882-3410
Phone
(951) 735-2700
Fax
(951) 735-7564
NPI assigned
Aug 24, 2005
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X FK072217 MI
Urology Physician 208800000X 33113 AL
Urology Physician 208800000X G87046 CA Primary

Addresses

Primary practice location

801 S Main St Ste 201
Corona, CA 92882-3410

Mailing address

801 S Main St Ste 201
Corona, CA 92882-3410
Phone (951) 735-2700

Other identifiers 9

IdentifierTypeStateIssuer
340015653OtherMIRAILROAD MEDICARE
340G310500OtherMIBLUE CROSS
5162198OtherMIAETNA
159278MedicaidAL
4153071MedicaidMI
340019578OtherMITRICARE
00G870460OtherCAMEDICARE CALIFORNIA
4153053MedicaidMI
0982255OtherMIHEALTHPLUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080319000284 CA Practitioner - Urology 7911083712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Virginia Commonwealth University, School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3975 Jackson St
Suite 308
Riverside, CA 92503-3951
Phone (951) 687-8730

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G87046CAMDUrology Physician
FK072217MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anniston Pathology Current Accepting new patients
Urology Center of So Calif Medical Group Inc Urology Current Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Girdhari S Purohit MD Inc Urology PastSince Jun 11, 2007 Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

1820 Fullerton Ave
Ste 260
Corona, CA 92881
Phone (909) 735-2700

801 S Main St
Ste 201
Corona, CA 92882
Phone (951) 735-2700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: fkim313781@direct.llu.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGEABD

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1285627224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S MAIN ST STE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823410",
            "telephone_number": "951-735-2700",
            "fax_number": "951-735-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S MAIN ST STE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823410",
            "telephone_number": "951-735-2700",
            "fax_number": "951-735-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "FRANK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2022-10-19",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "FK072217",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "33113",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G87046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340015653",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "340G310500",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5162198",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159278",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4153071",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "340019578",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CALIFORNIA",
            "identifier": "00G870460",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4153053",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "0982255",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.