Individual provider Active NPI

Judy Yoo Jin Kim, MD

  • Family Medicine Physician
  • Menlo Park, CA
National Provider Identifier
1306131925
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A122885 Issued in CA
Practice address
401 Burgess Dr Ste a
Menlo Park, CA 94025-3476
Phone
(650) 800-3365
NPI assigned
Jun 10, 2011
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A122885 CA Primary

Addresses

Primary practice location

401 Burgess Dr Ste a
Menlo Park, CA 94025-3476

Mailing address

1000 Franklin Pkwy
San Mateo, CA 94403-1922
Phone (650) 358-7000

Other names 1

  • Judy Choi Other name

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
I20141118002515 CA Practitioner - Family Practice 4183846694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A122885CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Mar 24, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 24, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 24, 2022 Accepting new patients
University of California San Francisco CurrentSince Mar 24, 2022 Accepting new patients
University of California San Francisco Current Accepting new patients

Locations

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3360 Geary Blvd
Ste 201
San Francisco, CA 94118
Phone (415) 353-3100

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Interoperability endpoints

  • Direct secure messaging: judy.choi@4966202802180.direct.elationemr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1306131925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FRANKLIN PKWY",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031922",
            "telephone_number": "650-358-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BURGESS DR STE A",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253476",
            "telephone_number": "650-800-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUDY",
        "middle_name": "YOO JIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A122885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "CHOI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.