John S Kim, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E4595 Issued in CA

Practice address

2137 Cesar Chavez Ave
Los Angeles, CA 90033

Phone

(323) 262-7450

Fax

(323) 262-2337

NPI assigned

Oct 20, 2005

Sex

Male

Sole proprietor

Yes

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

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

Specialty

Podiatry

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allmed of Los Angeles IncGroup PAC ID 2860918752, 12 clinicians

Omega Podiatry IncGroup PAC ID 5193004174, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: kim.john.020.0050931@cmg.meditab.direct-ci.com

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.

• Allmed of Los Angeles, Inc

  • Primary Care Clinic/Center
  • El Monte, CA
  • NPI 1053052522
  Medicare reassignment Care Compare group NPD
• Omega Podiatry Inc.

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
  • NPI 1396057014
  Medicare reassignment Care Compare group NPD
• El Monte Clinica Medica General Medical Center, Inc

  • Multi-Specialty Clinic/Center
  • El Monte, CA
  • NPI 1093762593
  Medicare reassignment NPD
• Los Angeles Clinica Medica General Medical Center, Inc.

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1265489751
  Medicare reassignment
• Allmed of Los Angeles, Inc

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1912746702
  NPD
• Cedars Towers Surgical Medical Group

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1881633287
  NPD (past)
• Far West Podiatric Medical Group

  dba Far West Podiatry

  • Foot Surgery Podiatrist
  • Hawthorne, CA
  • NPI 1124175740
  NPD (past)
• Good Samaritan Hospital, L.P.

  dba Good Samaritan Hospital

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1376595777
  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1467441527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 CESAR CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-262-7450",
            "fax_number": "323-262-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 CESAR CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-262-7450",
            "fax_number": "323-262-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D Kim, PT
• John H Kim, NP
• John J. Kim, M.D.
• John Ju-Han Kim
• John K Kim, DDS, PHD
• Johnny K Kim, DDS
• Jon Kim, PSYD
• Jona Michael Kim
• Jonathan Kim
• Jonathan Kim

• Podiatrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.