Individual provider Active NPI

Ji Hee Kim, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sunnyvale, CA
National Provider Identifier
1386131233
Registry record updated Jun 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5737 Issued in CA
Practice address
333 W El Camino Real Ste 315
Sunnyvale, CA 94087-1832
Phone
(408) 203-3821
NPI assigned
Apr 17, 2018
Last updated
Jun 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5737 CA Primary

Addresses

Primary practice location

333 W El Camino Real Ste 315
Sunnyvale, CA 94087-1832

Mailing address

333 W El Camino Real Ste 315
Sunnyvale, CA 94087-1832
Phone (408) 203-3821

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211119000915 CA Practitioner - Podiatry 5193114734 Practice locations: Stockton, CA; La Verne, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1755 W Hammer LN
Suite 7B
Stockton, CA 95209-2900
Phone (209) 474-8020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue4156
Removal or shaving of skin growth236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5737CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ji Hee Kim DPM Foot & Ankle Surgery Current Accepting new patients
Ace Foot and Ankle Medical Clinic Foot & Ankle Surgery Past Accepting new patients

Locations

365 Hawthorne Ave
Ste 202
Oakland, CA 94609
Phone (510) 419-0211

Interoperability endpoints

  • Direct secure messaging: jkim658528@hisp.ehr.sutterhealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1386131233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W EL CAMINO REAL STE 315",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871832",
            "telephone_number": "408-203-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W EL CAMINO REAL STE 315",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871832",
            "telephone_number": "408-203-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JI HEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.