Active NPI
Ji Hyun Kim, M.D.
- Radiation Oncology Physician
- Lancaster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- A111884
- Practice address
- 44151 15TH St W Ste 101
Lancaster, CA 93534-4079 - Phone
- (661) 902-5600
- Fax
- (661) 951-0686
- NPI assigned
- Jun 25, 2008
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | A111884 | CA | Primary |
Addresses
Primary practice location
44151 15TH St W Ste 101
Lancaster, CA 93534-4079
Mailing address
PO Box 512185
Los Angeles, CA 90051-0185
Phone (626) 775-3514
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 Compare- Specialty
- Radiation Oncology
- Education
- Drexel University College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673
1500 E Duarte Rd
Duarte, CA 91010-3012
209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 396-2900
5215 Torrance Blvd
Torrance, CA 90503-4009
Phone (310) 750-1715
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.8 of 100
- Quality
- 78.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A111884 | CA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group, Inc. | Radiation Oncology | Current | Accepting new patients |
| City of Hope Medical Foundation | Radiation Oncology | Current | Accepting new patients |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Lancaster Hospital Corporation | Past | Accepting new patients |
Locations
44151 15th St W
#101
Lancaster, CA 93534
Phone (661) 902-5600
44151 15th St W
Lancaster, CA 93534
Phone (661) 743-0001
209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111
14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jkim9531@cityofhope.direct-ci.com
Organizations & group practices 6
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.
-
- Hematology & Oncology Physician
- Duarte, CA
- NPI 1871886366
Radiation Oncology
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Anesthesiology Physician
- Duarte, CA
- NPI 1033435292
Radiation Oncology
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- General Acute Care Hospital
- Sylmar, CA
- NPI 1134159320
-
- Rehabilitation Hospital Unit
- Palmdale, CA
- NPI 1033109947
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duarte, CA
- NPI 1750358297
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520812800000",
"number": "1558523217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 512185",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900510185",
"telephone_number": "626-775-3514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44151 15TH ST W STE 101",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935344079",
"telephone_number": "661-902-5600",
"fax_number": "661-951-0686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JI",
"middle_name": "HYUN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-25",
"last_updated": "2018-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "A111884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.
- 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.