Chris Y Kim, DO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

SLD1717 Issued in CA

Practice address

208 Vintage Way Ste K21
Novato, CA 94945-5016

Phone

(415) 897-3377

Fax

(415) 897-5722

NPI assigned

Mar 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Jasmine Huanjing Chen O.D. a Professional Corporation

  • Optometrist
  • Novato, CA
  • NPI 1285169169
  NPD (past)

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1376178327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4756 WINDING CREEK AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954093436",
            "telephone_number": "707-292-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 VINTAGE WAY STE K21",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455016",
            "telephone_number": "415-897-3377",
            "fax_number": "415-897-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRIS",
        "middle_name": "Y",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "SLD1717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Levinson Kessner, M.S.
• Joanne Kha, LAC
• Ghazal Khorrami, MD
• Gary Oscar Kiehne, PSY.D MFT
• Susan Kim-Katz, PHARM. D.
• Paul Kim, DDS
• Bernardine Victoria King, D.C.
• Stephanie A King, PSYD
• Sheena Kirkbride, LMFT
• Laura Elizabeth Kishi, NP

• Optician in Novato, CA
• Providers in Novato, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.