Individual provider Active NPI

Solomon Kim, DPM

  • Podiatrist
  • Bakersfield, CA
National Provider Identifier
1346865409
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5951001383 Issued in MI
Practice address
110 New Stine Rd
Bakersfield, CA 93309-2605
Phone
(661) 832-1667
Fax
(661) 832-7145
NPI assigned
Jun 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5951001383 MI Primary

Addresses

Primary practice location

110 New Stine Rd
Bakersfield, CA 93309-2605

Mailing address

110 New Stine Rd
Bakersfield, CA 93309-2605
Phone (661) 832-1667

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720002396 CA Practitioner - Podiatry 7517389711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stockdale Podiatry Group IncGroup PAC ID 0143282715, 14 clinicians

Practice addresses (Care Compare)

110 New Stine Rd
Bakersfield, CA 93309-2605
Phone (661) 832-1667

Hospital & facility affiliations

  • HCC Healthcare at Home Home health agency, Fresno, CA, CCN 058292
  • Adventist Health Tulare Hospital, Tulare, CA, CCN 050784
  • Sierra View Medical Center Hospital, Porterville, CA, CCN 050261
  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
43.37
Improvement activities
40
Cost
79.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue272
Removal of skin lesions37
Removal of nail tissue2924
Removal or shaving of skin growth1250
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stockdale Podiatry Group Inc Podiatrist CurrentSince Aug 1, 2023 Accepting new patients
K David Flora DPM Inc Podiatrist PastSince Nov 24, 2019 Accepting new patients
Nora Medical Inc PastSince Oct 20, 2018 Accepting new patients

Locations

1701 27th St
Bakersfield, CA 93301
Phone (661) 322-2895

1326 H St
Ste 1
Bakersfield, CA 93301
Phone (661) 322-5900

110 New Stine Rd
Bakersfield, CA 93309
Phone (661) 832-1666

8307 Brimhall Rd
Ste 1704
Bakersfield, CA 93312
Phone (661) 829-7415

3501 Mall View Rd
Ste 104
Bakersfield, CA 93306

1519 Garces Hwy
Ste 107
Delano, CA 93215
Phone (661) 721-8832

440 W Putnam Ave
Porterville, CA 93257
Phone (559) 615-0059

448 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-3118

1086 N Cherry St
Tulare, CA 93274
Phone (559) 688-3668

Interoperability endpoints

  • Direct secure messaging: skim800979@direct.hfhs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1346865409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NEW STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092605",
            "telephone_number": "661-832-1667",
            "fax_number": "661-832-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NEW STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092605",
            "telephone_number": "661-832-1667",
            "fax_number": "661-832-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SOLOMON",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-14",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5951001383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.