Active NPI
Yang Kim, M.D.
- Neonatal-Perinatal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1528055456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 190095
- Practice address
- 500 S Virgil Ave # 2047a
Los Angeles, CA 90020 - Phone
- (213) 388-7828
- Fax
- (213) 388-7838
- NPI assigned
- Oct 5, 2005
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 190095 | NY | Primary |
Addresses
Primary practice location
500 S Virgil Ave # 2047a
Los Angeles, CA 90020
Mailing address
500 S Virgil Ave Ste 204
Los Angeles, CA 90020-1449
Phone (213) 388-7828
Other practice location 1
530 1st Ave
7 A
New York, NY 10016-6402
Phone (212) 263-7477
Other practice location 2
530 1st Ave
7 A
New York, NY 10016-6402
Phone (212) 263-7477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01605150 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janet S. Kim, M.D. Corp | Past | Accepting new patients | |
| New York University Medical Center | Neonatal-Perinatal Medicine | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- ykim677786@nychhc.direct-ci.com
Organizations & group practices 2
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.
-
- Specialist
- Los Angeles, CA
- NPI 1265764955
-
- Neonatal-Perinatal Medicine Physician
- New York, NY
- NPI 1023067444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1528055456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S VIRGIL AVE STE 204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201449",
"telephone_number": "213-388-7828",
"fax_number": "213-388-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S VIRGIL AVE # 2047A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90020",
"telephone_number": "213-388-7828",
"fax_number": "213-388-7838"
}
],
"practiceLocations": [
{
"address_1": "530 1st Ave",
"address_2": "7 A",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166402",
"country_code": "US",
"telephone_number": "212-263-7477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "530 1st Ave",
"address_2": "7 A",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166402",
"country_code": "US",
"telephone_number": "212-263-7477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "YANG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NY",
"license": "190095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01605150",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.