Individual provider Active NPI

Christopher J Kim, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenbrae, CA
National Provider Identifier
1356607121
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A131506 Issued in CA
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

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160623002480 CA Practitioner - Pathology 8628369527 Reassigns benefits to 2 organizations

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
Marin Medical LaboratoriesGroup PAC ID 7911990916, 8 clinicians
First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians

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 Hospital, Greenbrae, CA, CCN 050360
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090
  • Petaluma Valley Hospital Hospital, Petaluma, CA, CCN 050136
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131

Merit-based Incentive Payment System (MIPS)

Final score
81.54 of 100Reported as group
Quality
59.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A131506CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marin Medical Laboratories Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2016 Accepting new patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners CurrentSince Jun 27, 2025 Accepting new patients
Marin Medical Laboratories Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2016 Accepting new patients
First Choice Physician Partners CurrentSince Jun 27, 2025 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.