John Sang Min Kim

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

11614 183Rd St
Artesia, CA 90701-5506

Phone

(310) 413-9945

NPI assigned

Nov 29, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• A&G Health Services, Inc

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1598791972
  NPD (past)
• A&G Health Services, Inc.

  • Physical Therapy Clinic/Center
  • Rosemead, CA
  • NPI 1881873701
  NPD (past)

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1295501385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17892 VIA ROMA",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11614 183RD ST",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015506",
            "telephone_number": "310-413-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOHN",
        "middle_name": "SANG MIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bubjung Kim
• Eun Young Kim
• Eunice E Kim, DPM
• Hyoung Wook Kim, DDS
• Iljoon Kim, DMD
• Kungsoo Kim, M.D.
• Namgu Kim
• Roseann Knight
• Samuel Jinwook Ko, LIC, AC.
• Carole Kochi, D.C.

• Physical Therapist in Artesia, CA
• Providers in Artesia, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.