Jeannie G Kim, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A72965 Issued in CA

Practice address

2400 E 4TH St
National City, CA 91950-2026

Phone

(888) 657-1576

Fax

(619) 937-3698

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Pulmonary DiseaseAlso: Internal Medicine

Education

University of Alabama School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sea Coast Home Health Care Inc Home health agency, San Diego, CA, CCN 559055
• Good Samaritan Home Health Inc Home health agency, National City, CA, CCN 757272
• Shield Home Health Home health agency, San Diego, CA, CCN 059586
• Bella Vista Health Center Nursing home, Lemon Grove, CA, CCN 555870
• Stillwater Post-Acute Nursing home, El Cajon, CA, CCN 555076
• The Shores Post-Acute Nursing home, San Diego, CA, CCN 555585

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Jeannie Kim MD a Professional Corporation

  • Pulmonary Disease Physician
  • El Cajon, CA
  • NPI 1639616410

  Critical Care Medicine

  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Absolute Care Health Systems, Inc

  • Home Health Agency
  • San Diego, CA
  • NPI 1083978100
  Care Compare affiliation
• Aetas Health Services

  • Skilled Nursing Facility
  • Lemon Grove, CA
  • NPI 1760709687

  Nursing home

  Care Compare affiliation
• Bridgewater Bay Holdings LLC

  • Skilled Nursing Facility
  • San Diego, CA
  • NPI 1316655871

  Nursing home

  Care Compare affiliation
• Good Samaritan Home Health Care, Inc.

  • Home Health Agency
  • National City, CA
  • NPI 1669082350
  Care Compare affiliation
• San Diego Bay Holdings LLC

  • Skilled Nursing Facility
  • El Cajon, CA
  • NPI 1316637333

  Nursing home

  Care Compare affiliation
• Sea Coast Home Health Care Inc

  • Home Health Agency
  • San Diego, CA
  • NPI 1720523921
  Care Compare affiliation

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1386668002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511419",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900517974",
            "telephone_number": "866-284-2771",
            "fax_number": "800-334-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E 4TH ST",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502026",
            "telephone_number": "888-657-1576",
            "fax_number": "619-937-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JEANNIE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A72965",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A72965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A729650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Kelton, BCBA
• Ker Pharmacy
• Danielle Kessler, OTR/L
• Khalid Khoudari, DDS
• Brendan Kidder, MD
• Kyung Chul Kim, M.D.
• Justin Benard King, MD
• Kellyann Knight, CRNP
• Jennifer Knisely, PMHNP-BC
• Latania Knox

• Pulmonary Disease Physician in National City, CA
• Providers in National City, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.