Active NPI
Edward Thomas Kim, M.D.
- Cardiovascular Disease Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A136939
- Practice address
- 400 Newport Center Dr Ste 704
Newport Beach, CA 92660-8603 - Phone
- (949) 785-6300
- Fax
- (877) 682-2155
- NPI assigned
- Dec 10, 2008
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | A136939 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | A136939 | CA | Primary |
| Internal Medicine Physician | 207R00000X | 4301102651 | MI | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 4301102651 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 4301102651 | MI |
Addresses
Primary practice location
400 Newport Center Dr Ste 704
Newport Beach, CA 92660-8603
Mailing address
400 Newport Center Dr Ste 704
Newport Beach, CA 92660-8603
Phone (949) 785-6300
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
400 Newport Ctr Dr
Suite 704
Newport Beach, CA 92660-8603
Phone (949) 785-6300
415 Old Newport Blvd
Suite 200
Newport Beach, CA 92663-4252
Phone (949) 548-9611
Hospital & facility affiliations
- Hoag Memorial Hospital Presbyterian
- Uci Health-Orange
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136939 | CA | MD | Marriage & Family Therapist |
| A136939 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Medical Clinic, Inc | Internal Medicine | Current | Accepting new patients |
| Riverside Medical Clinic, Inc | Internal Medicine | Current | Accepting new patients |
| Newport Heart Medical Group Inc | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Edward T Kim MD PC | Cardiovascular Disease | Current | Accepting new patients |
| Hoag Hospital | Past | Accepting new patients | |
| Doctors Hospital of Riverside LLC | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients |
Locations
400 Newport Center Dr
Ste 704
Newport Beach, CA 92660
Phone (949) 720-0505
415 Old Newport Blvd
Ste 200
Newport Beach, CA 92663
Phone (949) 548-9611
7160 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3714
3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JFFFAA
- https://fhir4.healow.com/fhir/r4/CGBAED/Endpoint/CGBAED
Organizations & group practices 8
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.
-
- Clinical Cardiac Electrophysiology Physician
- Newport Beach, CA
- NPI 1710842422
Cardiovascular Disease
-
- Specialist
- Newport Beach, CA
- NPI 1811986268
-
- Dermatology Physician
- Riverside, CA
- NPI 1720183403
-
- Family Medicine Physician
- Riverside, CA
- NPI 1639274319
Internal Medicine
-
- Internal Medicine Physician
- Riverside, CA
- NPI 1730180415
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1689864365
-
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1609011204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 NEWPORT CENTER DR STE 704",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926608603",
"telephone_number": "949-785-6300",
"fax_number": "877-682-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 NEWPORT CENTER DR STE 704",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926608603",
"telephone_number": "949-785-6300",
"fax_number": "877-682-2155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "EDWARD",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-10",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "CA",
"license": "A136939",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A136939",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301102651",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MI",
"license": "4301102651",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301102651",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.