Individual provider Active NPI

James Kim, M.D.

  • Interventional Pain Medicine Physician
  • Covina, CA
National Provider Identifier
1649698481
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A159619 Issued in CA
Practice address
236 W College St
Covina, CA 91723-1902
Phone
(626) 608-7320
Fax
(626) 608-7322
NPI assigned
Mar 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X A159619 CA
Interventional Pain Medicine Physician 208VP0014X A159619 CA Primary

Addresses

Primary practice location

236 W College St
Covina, CA 91723-1902

Mailing address

PO Box 209
Covina, CA 91723-0209
Phone (909) 803-0647

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
I20200612001775 CA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 8325378276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.8 of 100Reported as group
Quality
100
Improvement activities
40
Cost
65.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A159619CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emanate Pain Management Medical Group PC Single Specialty CurrentSince Feb 11, 2024 Accepting new patients
Reekeshrpatelmd Inc Single Specialty CurrentSince May 1, 2024 Accepting new patients
Sky Anesthesia Inc. Single Specialty CurrentSince Sep 1, 2019 Accepting new patients
Foothills Pain Management Clinic PC Single Specialty CurrentSince Aug 1, 2020 Accepting new patients

Locations

236 W College St
Covina, CA 91723
Phone (626) 732-2200

4477 W 118th St
Ste 302
Hawthorne, CA 90250
Phone (310) 644-5353

4477 W 118th St
Ste 501
Hawthorne, CA 90250
Phone (310) 679-9999

1828 E Cesar E Chavez Ave
Ste 4500
Los Angeles, CA 90033
Phone (323) 352-3000

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

2895 N Towne Ave
Pomona, CA 91767
Phone (909) 267-7495

9120 Haven Ave
Ste 202
Rch Cucamonga, CA 91730
Phone (909) 803-0647

767 S Sunset Ave
Ste 3
West Covina, CA 91790
Phone (626) 338-8409

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jameskim@fpmc.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1649698481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917230209",
            "telephone_number": "909-803-0647",
            "fax_number": "626-608-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231902",
            "telephone_number": "626-608-7320",
            "fax_number": "626-608-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-30",
        "last_updated": "2024-04-04",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A159619",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A159619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.