NPIMap

Individual provider Active NPI

Chongiin Kim

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1578086518
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A177471 Issued in CA
Practice address
1100 Van Ness Ave Ste 1005
San Francisco, CA 94109-6980
Phone
(415) 243-8666
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A177471 CA
Internal Medicine Physician 207R00000X A177471 CA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A177471 CA

Addresses

Primary practice location

1100 Van Ness Ave Ste 1005
San Francisco, CA 94109-6980

Mailing address

9808 Venice Blvd Ste 505
Culver City, CA 90232-6818
Phone (310) 237-0461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251006003496 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4587086103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Francisco Critical Care Med Group IncGroup PAC ID 1850285602, 18 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

1100 Van Ness Ave
Suite 1005
San Francisco, CA 94109-6920
Phone (415) 923-3421

1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A177471CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Critical Care Med Group Inc Critical Care Medicine CurrentSince Sep 1, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Mar 1, 2026 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Mar 1, 2026 Accepting new patients
Sutter East Bay Medical Foundation Internal Medicine Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

1100 Van Ness Ave
Ste 1005
San Francisco, CA 94109
Phone (415) 923-3421

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

Interoperability endpoints

  • Direct secure messaging: ckim749096@hisp.ehr.sutterhealth.org

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.

Hospital & facility affiliations 4

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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1578086518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD STE 505",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326818",
            "telephone_number": "310-237-0461",
            "fax_number": "310-945-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VAN NESS AVE STE 1005",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096980",
            "telephone_number": "415-243-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHONGIIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A177471",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A177471",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A177471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.