Active NPI
Ji Hee Kim DPM
- Primary Podiatric Medicine Podiatrist
- Oakland, CA
National Provider Identifier
1487312088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- Legal business name
- JI HEE KIM DPM
- Practice address
- 365 Hawthorne Ave Ste 202
Oakland, CA 94609-3114 - Phone
- (510) 703-9837
- NPI assigned
- Dec 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ji Hee Kim, DPM
- Title
- President
- Phone
- (510) 703-9837
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X |
Addresses
Primary practice location
365 Hawthorne Ave Ste 202
Oakland, CA 94609-3114
Mailing address
365 Hawthorne Ave Ste 202
Oakland, CA 94609-3114
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Sunnyvale, CA
- NPI 1386131233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1487312088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 HAWTHORNE AVE STE 202",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 HAWTHORNE AVE STE 202",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093114",
"telephone_number": "510-703-9837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JI HEE KIM DPM",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-01",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "JI HEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-703-9837",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.