Active NPI
Eileen H Kim, MD
- Family Medicine Physician
- San Francisco, CA
National Provider Identifier
1477943199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A146059
- Practice address
- 229 7TH St
San Francisco, CA 94103-4003 - Phone
- (415) 503-6000
- Fax
- (415) 503-6099
- NPI assigned
- Feb 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A146059 | CA | Primary |
Addresses
Primary practice location
229 7TH St
San Francisco, CA 94103-4003
Mailing address
229 7TH St
San Francisco, CA 94103-4003
Phone (415) 503-6000
Other practice location 1
315 Mercy Ave
suite 400
Merced, CA 95340-8363
Phone (253) 777-5116
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A146059 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merced Hospitalist Medical Group, Inc. | Current | Accepting new patients |
Locations
333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280
Interoperability endpoints
- eileen.kim.p1@direct.smhc.nextgenshare.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Merced, CA
- NPI 1730431875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1477943199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 7TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941034003",
"telephone_number": "415-503-6000",
"fax_number": "415-503-6099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 7TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941034003",
"telephone_number": "415-503-6000",
"fax_number": "415-503-6099"
}
],
"practiceLocations": [
{
"address_1": "315 Mercy Ave",
"address_2": "suite 400",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953408363",
"country_code": "US",
"telephone_number": "253-777-5116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "EILEEN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-02",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A146059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.