Kim Foot and Ankle Medical Centers of Long Beach

Primary specialty

Public Medicine PodiatristTaxonomy code 213EP0504X

Legal business name

KIM FOOT AND ANKLE MEDICAL CENTERS OF LONG BEACH

Practice address

701 E 28TH St
Suite 111
Long Beach, CA 90806-2759

Phone

(562) 426-2551

Fax

(562) 988-0610

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

S. Don Kim, DPMNPI 1588610786

Title

Owner

Phone

(562) 426-2551

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Kim Foot and Ankle Medical Centers of Long Beach, Inc

  • Non-Pharmacy Dispensing Site
  • Long Beach, CA
  • NPI 1023487634
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• S.Don Kim, D.P.M.

  • Podiatrist
  • Long Beach, CA
  • NPI 1588610786
  Medicare reassignment Care Compare group NPD Authorized official
• Raymond M Bautista

  • Sports Medicine Podiatrist
  • Long Beach, CA
  • NPI 1043265549
  Medicare reassignment Care Compare group NPD
• Sammy Xian, DPM

  • Foot & Ankle Surgery Podiatrist
  • Long Beach, CA
  • NPI 1568081826
  Medicare reassignment Care Compare group NPD
• James K Jung, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Victorville, CA
  • NPI 1649224999
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1467471326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST",
            "address_2": "SUITE 111",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062715",
            "telephone_number": "562-426-2551",
            "fax_number": "562-988-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST",
            "address_2": "SUITE 111",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062759",
            "telephone_number": "562-426-2551",
            "fax_number": "562-988-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM FOOT AND ANKLE MEDICAL CENTERS OF LONG BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "S. DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-426-2551",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP0504X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Public Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duc T Kiet, RPH
• Bryan Kift, MD
• Anna Kiiveri
• Kevin Michael Kilbane, PH. D., M.A., MFT
• Kristina Kay Kilmer-Moat, LCSW
• Kim Foot and Ankle Medical Centers of Long Beach, Inc
• Ahesun Kim-Almeida
• Youngsook Kim-Sasaki, RN,MSN
• Abigail Kim
• Allan Kim, DO

• Podiatrist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.