Emma Y. Kim, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

43994 Issued in CA

Practice address

984 Monument St Ste 202
Pacific Palisades, CA 90272-3859

Phone

(310) 454-4316

Fax

(310) 454-3168

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Gaminchi and Kim Dental Corporation

  • General Practice Dentistry
  • La Mirada, CA
  • NPI 1962549519
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578631503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 MONUMENT ST STE 202",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723859",
            "telephone_number": "310-454-4316",
            "fax_number": "310-454-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 MONUMENT ST STE 202",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723859",
            "telephone_number": "310-454-4316",
            "fax_number": "310-454-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EMMA",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "43994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Robbin Kaler, PH.D., R.N.
• Philip Kamins
• Jee Hae Kang, PHARM.D
• Kathy Elizabeth Magliato MD Inc
• Key Treatment 1 LLC
• Luke Kim, DENTIST
• Mary-Margaret Shaffer Kim, M.D.
• Laura Kirkland
• Francine Kirkpatrick, PH.D.
• Elizabeth Ann Knickmeyer

• Dentist in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.