Active NPI
Ki Sook Kim, MD
- Occupational Medicine Physician
- San Francisco, CA
National Provider Identifier
1295929636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- A35050
- Practice address
- 728 20TH St
San Francisco, CA 94107 - Phone
- (415) 648-9501
- Fax
- (415) 648-9508
- NPI assigned
- Aug 29, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | A35050 | CA | Primary |
Addresses
Primary practice location
728 20TH St
San Francisco, CA 94107
Mailing address
1111 Lockheed Martin Way B/152
Sunnyvale, CA 94089
Phone (408) 756-3745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A35050 | CA | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271808000000",
"number": "1295929636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 LOCKHEED MARTIN WAY B/152",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "94089",
"telephone_number": "408-756-3745",
"fax_number": "408-742-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 20TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94107",
"telephone_number": "415-648-9501",
"fax_number": "415-648-9508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KI",
"middle_name": "SOOK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-29",
"last_updated": "2010-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CA",
"license": "A35050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.