Active NPI
Christopher Sungbum Kim, D.C.
- Chiropractor
- Cypress, CA
National Provider Identifier
1366554248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC30024
- Practice address
- 5480 Lincoln Ave
Cypress, CA 90630-2238 - Phone
- (714) 526-9050
- NPI assigned
- Aug 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC30024 | CA | Primary |
Addresses
Primary practice location
5480 Lincoln Ave
Cypress, CA 90630-2238
Mailing address
15424 Ashley CT
Whittier, CA 90603-2340
Phone (714) 801-6531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30024 | CA | MD | Clinical Psychologist |
| DC30024 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1366554248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15424 ASHLEY CT",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906032340",
"telephone_number": "714-801-6531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 LINCOLN AVE",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906302238",
"telephone_number": "714-526-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHRISTOPHER",
"middle_name": "SUNGBUM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC30024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.