Yang Ja Kim, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0017135 Issued in FL

Practice address

31 Rue Fontainbleau
Newport Beach, CA 92660-5920

Phone

(949) 706-5662

NPI assigned

Jul 28, 2005

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

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.

• Mount Sinai Medical Center

  • Internal Medicine Physician
  • Miami Beach, FL
  • NPI 1639278179
  NPD (past)
• Physician Practices of MSMC, LLC

  • Neurological Surgery Physician
  • Miami Beach, FL
  • NPI 1356630628
  NPD (past)
• Radiology Associates of Miami Beach

  • Specialist
  • Miami Beach, FL
  • NPI 1427161140
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1477553667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402800",
            "telephone_number": "305-674-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 RUE FONTAINBLEAU",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605920",
            "telephone_number": "949-706-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YANG",
        "middle_name": "JA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0017135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SE-Young Kim
• Sook H Kim, D.O.
• Sora Kim, PHARM D.
• Suhyun Kim
• Sung Soo Kim, L.AC.
• Kimiko Snider,M.D.,Inc
• Anthony Michael King II
• Connor King, DO
• Elaine King, MD
• Jennifer J. King, MD

• Specialist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.