Young Min Kim, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

C51136 Issued in CA

Practice address

3724 Lone Tree Way
Suite a
Antioch, CA 94509

Phone

(925) 778-0700

Fax

(925) 778-7400

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ykim154469@hisp.ehr.sutterhealth.org
• Direct secure messaging: young.kim.1@6524.direct.athenahealth.com

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.

• Hill Physicians Care Solutions, Inc.

  • Health Maintenance Organization
  • San Ramon, CA
  • NPI 1437769429
  NPD (past)
• Hill Physicians Medical Group - PPO Program

  • Preferred Provider Organization
  • San Ramon, CA
  • NPI 1679011035
  NPD (past)
• Sutter East Bay Medical Foundation

  • Family Medicine Physician
  • Orinda, CA
  • NPI 1871538769

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649236522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 LONE TREE WAY",
            "address_2": "SUITE A",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "94509",
            "telephone_number": "925-778-0700",
            "fax_number": "925-778-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 LONE TREE WAY",
            "address_2": "SUITE A",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "94509",
            "telephone_number": "925-778-0700",
            "fax_number": "925-778-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "MIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C51136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C511360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Kidd
• Haemin Kim
• Peter Kim
• Suhji Kim, MD
• Timothy Y Kim, DMD
• Laura Camille Kimball, PPS
• Haley King
• Janet Frost King
• Lindsley Kinser
• John-Patrick Kirby, MFCC

• Obstetrics & Gynecology Physician in Antioch, CA
• Providers in Antioch, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.