Individual provider Active NPI

Janet Kim, MD

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1336374123
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A123752 Issued in CA
Practice address
227 S Lucerne Blvd
Los Angeles, CA 90004-3726
Phone
(323) 240-2900
NPI assigned
May 21, 2009
Last updated
Dec 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A123752 CA Primary

Addresses

Primary practice location

227 S Lucerne Blvd
Los Angeles, CA 90004-3726

Mailing address

227 S Lucerne Blvd
Los Angeles, CA 90004-3726

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
I20130729000125 CA Practitioner - Ophthalmology 7719128123 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Eye Specialists Medical Group IncGroup PAC ID 6800793381, 26 clinicians

Practice addresses (Care Compare)

8028 3Rd St
Downey, CA 90241-3602
Phone (562) 622-8700

903 Crenshaw Blvd
Suite 105
Los Angeles, CA 90019-1972
Phone (323) 284-5884

9170 Haven Ave
Suite 102
Rancho Cucamonga, CA 91730-5416
Phone (909) 440-1014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Azul Vision Inc. Ophthalmology CurrentSince Nov 20, 2022 Accepting new patients
Eyecare Specialists Medical Group, Inc Ophthalmology CurrentSince Feb 6, 2019 Accepting new patients
Janet K Kim MD Inc Ophthalmology CurrentSince Oct 1, 2020 Accepting new patients
Eyecare Specialists Medical Group, Inc Ophthalmology Current Accepting new patients
Eyecare Specialists Medical Group, Inc. Ophthalmology CurrentSince Feb 6, 2019 Accepting new patients
California Eye Specialists Medical Group, Inc CurrentSince Aug 1, 2020 Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Eyecare Specialists Medical Group, Inc. Ophthalmology Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

947 S Anaheim Blvd
Ste 120
Anaheim, CA 92805
Phone (714) 821-4666

14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100

8028 3rd St
Downey, CA 90241
Phone (562) 622-8700

8311 Florence Ave
Downey, CA 90240
Phone (310) 923-4911

12442 Limonite Ave
Unit 203
Eastvale, CA 91752
Phone (951) 821-5188

7677 Center Ave
Ste 301
Huntington Beach, CA 92647
Phone (714) 901-2004

23521 Paseo de Valencia
Ste 305
Laguna Hills, CA 92653
Phone (949) 581-1770

903 Crenshaw Blvd
Ste 105
Los Angeles, CA 90019
Phone (323) 240-2900

229 E Beverly Blvd
Montebello, CA 90640
Phone (323) 728-5814

2619 E Colorado Blvd
#150
Pasadena, CA 91107
Phone (626) 305-9100

9170 Haven Ave
Ste 102
Rch Cucamonga, CA 91730
Phone (909) 440-1014

1595 E 17th St
Santa Ana, CA 92705
Phone (323) 728-7998

22525 Maple Ave
Ste 100
Torrance, CA 90505
Phone (310) 803-9633

23000 Crenshaw Blvd
Ste 100
Torrance, CA 90505
Phone (310) 437-7399

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: janet.kim.p1@direct.atlantiseyecare.nextgenshare.com
  • Direct secure messaging: jkim@californiaeye.intellechartdirect.net

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, 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": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1336374123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 S LUCERNE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S LUCERNE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043726",
            "telephone_number": "323-240-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JANET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A123752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.