Individual provider Active NPI

Ji Hyun Kim, M.D.

  • Radiation Oncology Physician
  • Lancaster, CA
National Provider Identifier
1558523217
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A111884 Issued in CA
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

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140108000444 CA Practitioner - Radiation Oncology 0840428355 Reassigns benefits to 2 organizations

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
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
A111884CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group, Inc. Radiation Oncology Current Accepting new patients
City of Hope Medical Foundation Radiation Oncology CurrentSince Oct 1, 2013 Accepting new patients
County of Los Angeles CurrentSince Apr 6, 2021 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Apr 6, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.