Active NPI
Christopher J Kim, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Greenbrae, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A131506
- Practice address
- 250 Bon Air Rd
Greenbrae, CA 94904-1702 - Phone
- (415) 925-7174
- Fax
- (415) 461-7228
- NPI assigned
- Apr 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A131506 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
250 Bon Air Rd
Greenbrae, CA 94904-1702
Mailing address
1615 Hill Road Ste B
Marin Medical Laboratories
Novato, CA 94947-4338
Phone (415) 898-7649
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of California, Geffen School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7174
300 Utah Ave
Suite 150
South San Francisco, CA 94080-6806
Phone (650) 835-4477
Hospital & facility affiliations
- Marinhealth Medical Center
- Providence Santa Rosa Memorial Hospital
- Sonoma Valley Hospital
- Petaluma Valley Hospital
- Novato Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.54 of 100
- Quality
- 59.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A131506 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marin Medical Laboratories | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Marin Medical Laboratories | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| First Choice Physician Partners | Current | Accepting new patients | |
| Marin Medical Laboratories | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Marin Medical Laboratories | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Marin Medical Laboratories | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Marin Medical Laboratories | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229
250 Bon Air Rd
#3
Greenbrae, CA 94904
250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350
1615 Hill Rd
Ste B
Novato, CA 94947
Phone (415) 898-7649
1615 Hill Rd
Ste Bcd
Novato, CA 94947
Phone (415) 898-7649
1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300
347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000
300 Utah Ave
Ste 150
South San Francisco, CA 94080
Phone (650) 835-4477
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 and National Provider Directory roles.
-
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Anatomic Pathology & Clinical Pathology Physician
- Greenbrae, CA
- NPI 1447356811
-
- Family Medicine Physician
- Palm Springs, CA
- NPI 1558797118
-
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- Anatomic Pathology & Clinical Pathology Physician
- Eureka, CA
- NPI 1356061477
-
- Anatomic Pathology & Clinical Pathology Physician
- Greenbrae, CA
- NPI 1053417386
-
- Anatomic Pathology & Clinical Pathology Physician
- Novato, CA
- NPI 1144326471
-
- Anatomic Pathology & Clinical Pathology Physician
- Santa Rosa, CA
- NPI 1326444647
-
- Anatomic Pathology & Clinical Pathology Physician
- Sonoma, CA
- NPI 1346532314
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenbrae, CA
- NPI 1396725677
-
- General Acute Care Hospital
- Petaluma, CA
- NPI 1235162645
-
- General Acute Care Hospital
- Sonoma, CA
- NPI 1710063870
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1356607121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 HILL ROAD STE B",
"address_2": "MARIN MEDICAL LABORATORIES",
"city": "NOVATO",
"state": "CA",
"postal_code": "949474338",
"telephone_number": "415-898-7649",
"fax_number": "415-898-0870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 BON AIR RD",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949041702",
"telephone_number": "415-925-7174",
"fax_number": "415-461-7228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-05",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A131506",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.