Active NPI
Richard Earl Kim, MD
- Anesthesiology Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A129743
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A129743 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Inpatient Specialists of California, PC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| G2 Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Total Anesthesia Care Inc | Anesthesiology | Current | Accepting new patients |
| John Muir Trauma Physicians Billing Service | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Anesthesiology Physician
- Los Gatos, CA
- NPI 1487214698
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
- Anesthesiology Physician
- Concord, CA
- NPI 1730806449
-
- Anesthesiology Physician
- Palo Alto, CA
- NPI 1588023949
-
- Trauma Surgery Physician
- Walnut Creek, CA
- NPI 1962551861
Anesthesiology
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Anesthesiology Physician
- Fremont, CA
- NPI 1982009759
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.