NPIMap

Individual provider Active NPI

Eric Daeho Kim

  • Anesthesiology Physician
  • Warrensville Heights, OH
National Provider Identifier
1508226465
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A18222 Issued in CA
Practice address
20000 Harvard Ave
Atn: Deb Marti, Gme
Warrensville Heights, OH 44122-6805
Phone
(858) 344-9770
NPI assigned
Mar 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 20A18222 CA
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 20A18222 CA Primary

Addresses

Primary practice location

20000 Harvard Ave
Atn: Deb Marti, Gme
Warrensville Heights, OH 44122-6805

Mailing address

1048 Geddy Way
Fremont, CA 94539-5946
Phone (858) 344-9770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210910002925 CA Practitioner - Anesthesiology 3274824966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians
Pontine IncorporatedGroup PAC ID 1052550266, 3 clinicians

Practice addresses (Care Compare)

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

5924 Stoneridge Dr
Pleasanton, CA 94588-5400
Phone (925) 469-9120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

Merit-based Incentive Payment System (MIPS)

Final score
81.7 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Aug 8, 2022 Accepting new patients
Alameda Health System Current Accepting new patients
Pontine Incorporated Anesthesiology CurrentSince Jan 15, 2022 Accepting new patients
Alameda Health System CurrentSince Aug 8, 2022 Accepting new patients

Locations

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

5924 Stoneridge Dr
Ste 206
Pleasanton, CA 94588
Phone (925) 469-9120

12935 Alcosta Blvd
Unit 2037
San Ramon, CA 94583
Phone (510) 225-9090

1006 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-2800

Interoperability endpoints

  • Direct secure messaging: ekim303642@direct.llu.edu
  • Direct secure messaging: ekim95851@alamedahs.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1508226465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 GEDDY WAY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395946",
            "telephone_number": "858-344-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20000 HARVARD AVE",
            "address_2": "ATN: DEB MARTI, GME",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226805",
            "telephone_number": "858-344-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ERIC",
        "middle_name": "DAEHO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-04",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "20A18222",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A18222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

Verify at the official NPI Registry.