Active NPI
Sang You Kim, M.D.
- General Practice Physician
- Chino Hills, CA
National Provider Identifier
1568494367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A41877
- Practice address
- 14273 Ruby Glen CT
Chino Hills, CA 91709-5915 - Phone
- (714) 351-1418
- NPI assigned
- Jul 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A41877 | CA | Primary |
Addresses
Primary practice location
14273 Ruby Glen CT
Chino Hills, CA 91709-5915
Mailing address
14273 Ruby Glen CT
Chino Hills, CA 91709-5915
Phone (714) 351-1418
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Medical Group, Inc. | General Practice | Past | Accepting new patients |
| Sang Y. Kim, M.D., Inc. | General Practice | Past | Accepting new patients |
| Shalom Medical Group, Inc. | Past | Accepting new patients | |
| Whan Sil Kim, M.D., Inc. | Past | Accepting new patients | |
| Art Physical Therapy | Past | Accepting new patients |
Organizations & group practices 5
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.
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- NPI 1568662310
-
- General Practice Physician
- Garden Grove, CA
- NPI 1275612665
-
- Surgery Physician
- Anaheim, CA
- NPI 1922024736
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1952477648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1568494367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14273 RUBY GLEN CT",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917095915",
"telephone_number": "714-351-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14273 RUBY GLEN CT",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917095915",
"telephone_number": "714-351-1418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SANG",
"middle_name": "YOU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A41877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.