Individual provider Active NPI

Brian Sungyong Kim, M.D.

  • Anesthesiology Physician
  • San Francisco, CA
National Provider Identifier
1417184805
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A117246 Issued in CA
Practice address
521 Parnassus Ave
San Francisco, CA 94143-2206
Phone
(415) 476-9035
Fax
(415) 476-9516
NPI assigned
Jun 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A117246 CA Primary

Addresses

Primary practice location

521 Parnassus Ave
San Francisco, CA 94143-2206

Mailing address

521 Parnassus Ave
San Francisco, CA 94143-2206
Phone (415) 476-9035

Other practice location 1

747 52nd St
Oakland, CA 94609-1809
Phone (510) 428-3070

Other practice location 2

14445 Olive View Dr
Sylmar, CA 91342-1437
Phone (818) 364-3233

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160701001070 CA Practitioner - Anesthesiology 9234447236 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A117246CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Feb 23, 2024 Accepting new patients
University of California San Francisco CurrentSince Feb 23, 2024 Accepting new patients
University Anesthesia Medical Group Anesthesiology CurrentSince Feb 23, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Feb 23, 2024 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Feb 23, 2024 Accepting new patients
Childrens Anesthesia Medical Group Inc Anesthesiology CurrentSince Aug 1, 2016 Accepting new patients
Permanente Medical Group Inc Anesthesiology CurrentSince Nov 7, 2022 Accepting new patients
Permanente Medical Group Inc Anesthesiology Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Nov 7, 2022 Accepting new patients
Seton Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients
UCSF Medical Center Anesthesiology Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

3600 Broadway
Oakland, CA 94611
Phone (510) 752-5242

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

275 W MacArthur Blvd
Piedmont, CA 94611
Phone (510) 752-1375

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

521 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9035

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

521 Parnassus Ave
Fl 4
San Francisco, CA 94143
Phone (415) 476-9035

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • Direct secure messaging: bkim50953@direct-ucsfmedicalcenter.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1417184805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432206",
            "telephone_number": "415-476-9035",
            "fax_number": "415-476-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432206",
            "telephone_number": "415-476-9035",
            "fax_number": "415-476-9516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "747 52nd St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946091809",
            "country_code": "US",
            "telephone_number": "510-428-3070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14445 Olive View Dr",
            "address_purpose": "LOCATION",
            "city": "Sylmar",
            "state": "CA",
            "postal_code": "913421437",
            "country_code": "US",
            "telephone_number": "818-364-3233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "BRIAN",
        "middle_name": "SUNGYONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A117246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "275 W MacArthur Blvd",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946115641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.