William C. Kim, M.D., Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WILLIAM C. KIM, M.D., INC

Practice address

701 E. 28TH Street
Suite 117
Long Beach, CA 90806-2772

Phone

(562) 426-9890

Fax

(562) 426-7809

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Melanie McCracken, CPC

Title

Administrator

Phone

(310) 543-2521

Specialties & licenses 1

Addresses

Other names 1

• Orthopaedics Specialist Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• William C. Kim, MD Inc

  • Specialist
  • Torrance, CA
  • NPI 1548265499

  O20031204000778

  Same enrollment

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arash Alipour, NP-C

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1851618334
  Medicare reassignment Care Compare group NPD
• William Chul Kim, M.D.

  • Specialist
  • Torrance, CA
  • NPI 1144228628
  Medicare reassignment Care Compare group
• Jeffrey Wong, M.D.

  • Orthopaedic Surgery Physician
  • Fountain Valley, CA
  • NPI 1164790507
  Medicare reassignment NPD
• Serena Young-Nguyen, M.D.

  • Orthopaedic Surgery Physician
  • Long Beach, CA
  • NPI 1457351090
  Medicare reassignment NPD

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1366448763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD.",
            "address_2": "SUITE 190",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034539",
            "telephone_number": "310-543-2521",
            "fax_number": "310-543-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E. 28TH STREET",
            "address_2": "SUITE 117",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062772",
            "telephone_number": "562-426-9890",
            "fax_number": "562-426-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C. KIM, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-543-2521",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedics Specialist",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Willard
• Annette Willey
• Horace Willey
• Willhouse Collaborative Family Therapy Inc
• William a Grella Jr DDS Inc
• William W. Hampton, M.D., Inc.
• Maronette Ehab William, DMD
• Adewole Williams
• Ahniya Grace Williams
• Amber Storm Williams

• Specialist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.