Hyong J. Kim, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A63995 Issued in CA

Practice address

10000 Lakewood Blvd
Attention Maggie Noles Ms 6165
Downey, CA 90240-4020

Phone

(562) 862-3684

Fax

(562) 862-7145

NPI assigned

May 30, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA, SD, MA, NJ, IL, OK, NV7 enrollments

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 7

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Access Primary Care Physicians, Inc.

  • Family Medicine Physician
  • Whittier, CA
  • NPI 1750858510

  Internal Medicine, NV

  Medicare reassignment NPD Authorized official
• Careconnectmd Massachusetts PC

  • General Practice Physician
  • Charlestown, MA
  • NPI 1215618798
  Medicare reassignment NPD Authorized official
• Careconnectmd South Dakota PC

  • General Practice Physician
  • Sioux Falls, SD
  • NPI 1306527866
  Medicare reassignment NPD Authorized official
• Careconnectmd Ca PC

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1366063125
  Medicare reassignment NPD
• GN Medical Associates, Inc.

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1275576522
  Medicare reassignment NPD
• Careconnectmd New Jersey PC

  • General Practice Physician
  • Roseland, NJ
  • NPI 1417638990
  NPD Authorized official
• Careconnectmd Oklahoma PC

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1578244018
  NPD Authorized official
• Hyong Kim MD Service Corporation

  • General Practice Physician
  • Champaign, IL
  • NPI 1528749066
  NPD Authorized official
• Secure Health Medical Group Inc

  • Clinic/Center
  • Placentia, CA
  • NPI 1275690828

  Internal Medicine

  NPD
• Secure Health Medical Group Inc

  • Non-Pharmacy Dispensing Site
  • Placentia, CA
  • NPI 1376891580
  NPD
• Caremore Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Cerritos, CA
  • NPI 1770656829

  Internal Medicine

  NPD (past)
• Caremore Medical Group Inc

  • Family Medicine Physician
  • Cerritos, CA
  • NPI 1760435705

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1396792677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "address_2": "ATTENTION: MAGGIE NOLES MS 6165",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "562-741-4461",
            "fax_number": "562-622-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 LAKEWOOD BLVD",
            "address_2": "ATTENTION MAGGIE NOLES MS 6165",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902404020",
            "telephone_number": "562-862-3684",
            "fax_number": "562-862-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYONG",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET ID #",
            "identifier": "075479",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID #",
            "identifier": "00A639950",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "110190205",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A639950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah H Kim, MD, MPH
• Heesoo Iliana Kim, PHARMD
• Helena Heakyung Kim
• Hyeon Jin Kim
• Hyo Jung Kim, N.P.
• Jeffrey Kim
• Jessica Kim, PHARM.D.
• Jiwon Kim
• Judong Kim, M.D.
• Karen Kim

• Internal Medicine Physician in Downey, CA
• Providers in Downey, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.