Individual provider Active NPI

Esther Lee Kim, MD

  • Retina Specialist (Ophthalmology) Physician
  • Santa Ana, CA
National Provider Identifier
1649539404
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A127421 Issued in CA
Practice address
1200 N Tustin Ave Ste 140
Santa Ana, CA 92705-3592
Phone
(714) 972-8432
NPI assigned
May 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 266190 MA
Retina Specialist (Ophthalmology) Physician 207WX0107X A127421 CA Primary

Addresses

Primary practice location

1200 N Tustin Ave Ste 140
Santa Ana, CA 92705-3592

Mailing address

1200 N Tustin Ave Ste 140
Santa Ana, CA 92705-3592
Phone (714) 972-8432

Other practice location 1

243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181101002406 CA Practitioner - Ophthalmology 8123314077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange County Retina Medical GroupGroup PAC ID 1951345883, 5 clinicians

Practice addresses (Care Compare)

31451 Rancho Viejo Rd
Suite 101
San Juan Capistrano, CA 92675-1860
Phone (949) 496-0611

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
99.93 of 100Reported as group
Quality
99.87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266190MAMDOphthalmology Physician
A127421CAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Retina Medical Group Ophthalmology CurrentSince Sep 17, 2018 Accepting new patients
Providence Medical Foundation Past Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients
Massachusetts Eye and Ear Infirmary Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Massachusetts General Physicians Organization Inc Past Accepting new patients

Locations

333 W Bastanchury Rd
Ste 200
Fullerton, CA 92835
Phone (714) 451-0801

24022 Calle de la Plata
Ste 475
Laguna Hills, CA 92653
Phone (909) 335-6328

320 Superior Ave
Ste 160
Newport Beach, CA 92663
Phone (714) 646-3242

31451 Rancho Viejo Rd
Ste 101
San Juan Capo, CA 92675
Phone (714) 581-3618

999 N Tustin Ave
Ste 17
Santa Ana, CA 92705
Phone (714) 550-7474

1200 N Tustin Ave
Ste 140
Santa Ana, CA 92705
Phone (714) 972-8235

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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 1

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": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1649539404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N TUSTIN AVE STE 140",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053592",
            "telephone_number": "714-972-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N TUSTIN AVE STE 140",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053592",
            "telephone_number": "714-972-8432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Charles St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021143002",
            "country_code": "US",
            "telephone_number": "617-523-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ESTHER",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "266190",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A127421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.