Individual provider Active NPI

Richard Earl Kim, MD

  • Anesthesiology Physician
  • Glendale, CA
National Provider Identifier
1285955880
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A129743 Issued in CA
Practice address
1420 S Central Ave
Glendale, CA 91204-2508
Phone
(818) 502-1900
NPI assigned
Jun 17, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A129743 CA Primary

Addresses

Primary practice location

1420 S Central Ave
Glendale, CA 91204-2508

Mailing address

PO Box 60790
Pasadena, CA 91116-6790
Phone (626) 795-6596

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
I20140728002647 CA Practitioner - Anesthesiology 2860618840 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of California, San Francisco School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
G2 Anesthesia PCGroup PAC ID 3375873599, 104 clinicians

Practice addresses (Care Compare)

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

2540 E St
Concord, CA 94520-1906
Phone (925) 682-8200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A129743CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Inpatient Specialists of California, PC CurrentSince Aug 7, 2015 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
G2 Anesthesia PC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Total Anesthesia Care Inc Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
John Muir Trauma Physicians Billing Service Anesthesiology CurrentSince Sep 21, 2015 Accepting new patients
Cep America - Anesthesia PC Anesthesiology Past Accepting new patients

Locations

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

2222 East St
Ste 280
Concord, CA 94520
Phone (925) 858-8594

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2222 East St
Ste 290
Concord, CA 94520
Phone (925) 691-1580

2222 East St
Ste 200
Concord, CA 94520
Phone (707) 207-0899

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

15047 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 356-2774

15047 Los Gatos Blvd
Ste 150
Los Gatos, CA 95032
Phone (408) 356-2244

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3370 Geary Blvd
San Francisco, CA 94118
Phone (415) 379-7500

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

133 La Casa Via
Ste 150
Walnut Creek, CA 94598
Phone (925) 210-8400

2021 Ygnacio Valley Rd
Ste H102
Walnut Creek, CA 94598
Phone (866) 678-4320

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1285955880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60790",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911166790",
            "telephone_number": "626-795-6596",
            "fax_number": "626-795-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042508",
            "telephone_number": "818-502-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "RICHARD",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A129743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.