Brian Takemoto Kim, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A111328 Issued in CA

Practice address

24401 Calle de la Louisa
Suite 300
Laguna Hills, CA 92653-3623

Phone

(949) 951-2020

Fax

(949) 356-1687

NPI assigned

Jun 16, 2008

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 2

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

Specialty

Ophthalmology

Education

Pennsylvania State University College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Harvard Eye Associates Fka Roger Ohanesian MD and Edward Kim MD IncGroup PAC ID 4789632167, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.67 of 100Reported as group

Quality

93.87

Promoting interoperability

100

Improvement activities

40

Cost

41.69

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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.

• Harvard Eye Associates

  • Ophthalmology Physician
  • Laguna Hills, CA
  • NPI 1356371074
  Medicare reassignment Care Compare group NPD
• Regents of the University of California

  • Rheumatology Physician
  • Orange, CA
  • NPI 1487602579

  Ophthalmology

  Medicare reassignment NPD
• Alicia Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Laguna Hills, CA
  • NPI 1518107937
  NPD (past)
• Mission Hospital Regional Medical Center

  • Rehabilitation Hospital
  • Mission Viejo, CA
  • NPI 1003956913
  NPD (past)
• Uci Ophthalmology Group

  • Optometrist
  • Orange, CA
  • NPI 1437548708
  NPD (past)
• University of California Irvine

  • Infusion Therapy Clinic/Center
  • Irvine, CA
  • NPI 1417027475
  NPD (past)
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1477713030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 CALLE DE LA LOUISA",
            "address_2": "SUITE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533623",
            "telephone_number": "949-951-2020",
            "fax_number": "949-356-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 CALLE DE LA LOUISA",
            "address_2": "SUITE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533623",
            "telephone_number": "949-951-2020",
            "fax_number": "949-356-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BRIAN",
        "middle_name": "TAKEMOTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A111328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING PERMIT",
            "identifier": "R70250",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A111328",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Kijak
• Kiko'S House LLC
• Kim O Nguyen O D Inc
• Airee Kim
• Angela Kim, M.D.
• Christine Jeaneun Kim, PMHNP
• Edward W. Kim, M.D.
• Enoch Kim, D.D.S.
• Jennifer Sooyoung Kim, PA-C
• Julie Kim, MD

• Ophthalmology Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.