Active NPI
Josef Kim
- Rehabilitation Practitioner
- Sacramento, CA
National Provider Identifier
1528535648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 3800 Watt Ave
Sacramento, CA 95821-2670 - Phone
- (916) 584-7800
- NPI assigned
- Oct 26, 2018
- Last updated
- Apr 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | NU | Primary | |
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Behavior Technician | 106S00000X | RBT-18-68691 | CA |
Addresses
Primary practice location
3800 Watt Ave
Sacramento, CA 95821-2670
Mailing address
3800 Watt Ave
Sacramento, CA 95821-2670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-68691 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1528535648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 WATT AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958212670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 WATT AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958212670",
"telephone_number": "916-584-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOSEF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-26",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-18-68691",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.