Active NPI
Won Kim, MD
- Internal Medicine Physician
- San Francisco, CA
National Provider Identifier
1558528968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A115678
- Practice address
- 1600 Divisadero St
Box 1711
San Francisco, CA 94115-3010 - Phone
- (415) 885-7276
- Fax
- (415) 353-7779
- NPI assigned
- May 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | A115678 | CA | Primary |
Addresses
Primary practice location
1600 Divisadero St
Box 1711
San Francisco, CA 94115-3010
Mailing address
1600 Divisadero St
Box 1711
San Francisco, CA 94115-3010
Phone (415) 885-7276
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Past | Accepting new patients | |
| University of California San Francisco Medical Center | Past | Accepting new patients |
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.
-
dba UCSF Department of Medicine Rheumatology
- Rheumatology Physician
- San Francisco, CA
- NPI 1881763597
-
dba UCSF Medical Center
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387497600000",
"number": "1558528968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 DIVISADERO ST",
"address_2": "BOX 1711",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153010",
"telephone_number": "415-885-7276",
"fax_number": "415-353-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 DIVISADERO ST",
"address_2": "BOX 1711",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153010",
"telephone_number": "415-885-7276",
"fax_number": "415-353-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "WON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-22",
"last_updated": "2013-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A115678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.