Active NPI
Christina Marie Kim, MD
- Diagnostic Radiology Physician
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A175290
- Practice address
- 3801 Miranda Ave
Palo Alto, CA 94304-1207 - Phone
- (650) 493-5000
- NPI assigned
- May 8, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A175290 | CA | Primary |
Addresses
Primary practice location
3801 Miranda Ave
Palo Alto, CA 94304-1207
Mailing address
4858 W Pico Blvd # 249
Los Angeles, CA 90019-4225
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 61 of 100
- Quality
- 59.41
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 71.45
Merit-based Incentive Payment System (MIPS)
- Final score
- 53.98 of 100
- Quality
- 11.8
- Promoting interoperability
- 74
- Improvement activities
- 0
- Cost
- 82.7
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.84 of 100
- Quality
- 41.46
- Improvement activities
- 40
- Cost
- 87.23
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.67 of 100
- Quality
- 84.1
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A175290 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Joaquin | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| San Joaquin Faculty Medical Group | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of San Joaquin | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
Interoperability endpoints
- ckim625092@hisp.ehr.sutterhealth.org
Organizations & group practices 7
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.
-
- Diagnostic Radiology Physician
- Walnut Creek, CA
- NPI 1356597637
-
- General Acute Care Hospital
- French Camp, CA
- NPI 1801830583
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Internal Medicine Physician
- French Camp, CA
- NPI 1225063761
-
- Multi-Specialty Clinic/Center
- Manteca, CA
- NPI 1417407636
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Clinic/Center
- Mountain View, CA
- NPI 1912650672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1538547716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4858 W PICO BLVD # 249",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900194225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 MIRANDA AVE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041207",
"telephone_number": "650-493-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A175290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.