Jeannie Kim MD a Professional Corporation

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A72965 Issued in CA

Legal business name

JEANNIE KIM MD A PROFESSIONAL CORPORATION

Practice address

1201 S Orange Ave
El Cajon, CA 92020-7521

Phone

(888) 657-1576

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Jeannie G Kim, MDNPI 1386668002

Title

President

Phone

(858) 699-0669

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeannie G Kim, MD

  • Pulmonary Disease Physician
  • National City, CA
  • NPI 1386668002

  Critical Care Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1639616410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511419",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900517974",
            "telephone_number": "866-284-2771",
            "fax_number": "800-334-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S ORANGE AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920207521",
            "telephone_number": "888-657-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNIE KIM MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-699-0669",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A72965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zeyad Jasim
• Yareli Jasso Fonseca
• Nathan Michael Jaureguizar
• JCS Medical Transportation LLC
• Jean Chan, DDS, Apc
• Jefferson Healthcare LLC
• Vicki Lynn Jeffery, MFT
• Jeffrey Pine Holdings, LLC
• Jenelle Deilgat
• Samuel Harris Jenkins

• Pulmonary Disease Physician in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.