Jeffrey David Kim, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C161734 Issued in CA

Practice address

4806 Carpinteria Ave
Carpinteria, CA 93013-1935

Phone

(805) 566-5080

NPI assigned

Mar 20, 2007

Last updated

Sep 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK, CA2 enrollments

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 2

Specialty

Family Practice

Education

Boston University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sansum ClinicGroup PAC ID 3678471976, 320 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vna Health Home health agency, Santa Barbara, CA, CCN 057163
• Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24116/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/9493/brand/2/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sansum Clinic

  • Multi-Specialty Clinic/Center
  • Santa Barbara, CA
  • NPI 1154354504
  Medicare reassignment Care Compare group NPD
• Alaska Center for Pediatrics, LLC

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
  • NPI 1659581635
  Medicare reassignment NPD
• Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1144648015
  NPD
• Sansum Clinic

  • Multi-Specialty Clinic/Center
  • Santa Barbara, CA
  • NPI 1932121514
  NPD
• Arete Family Care LLC

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1801460415
  NPD
• Sansum Clinic

  dba Prescription Pharmacy

  • Community/Retail Pharmacy
  • Santa Barbara, CA
  • NPI 1376645788
  NPD (past)
• Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1649296807
  NPD (past)
• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  NPD (past)
• Galen Hospital Alaska, Inc.

  dba Alaska Regional Hospital

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1811941883
  NPD (past)
• Providence Health & Services Washington

  dba Providence Alaska Medical Center

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Coast Home Health Inc

  • Home Health Agency
  • San Luis Obispo, CA
  • NPI 1609044924
  Care Compare affiliation
• Visiting Nurse and Hospice Care of Santa Barbara

  • Home Health Agency
  • Santa Barbara, CA
  • NPI 1477560035
  Care Compare affiliation

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1659496339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 S PATTERSON AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4806 CARPINTERIA AVE",
            "city": "CARPINTERIA",
            "state": "CA",
            "postal_code": "930131935",
            "telephone_number": "805-566-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 E Northern Lights Blvd",
            "address_2": "Medical Park Family Care",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084129",
            "country_code": "US",
            "telephone_number": "907-279-8486",
            "fax_number": "907-257-8196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 E Northern Lights Blvd",
            "address_2": "Medical Park Family Care",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084129",
            "country_code": "US",
            "telephone_number": "907-279-8486",
            "fax_number": "907-257-8196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 University Lake Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "99508",
            "country_code": "US",
            "telephone_number": "907-777-1850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C161734",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "5029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD45685",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Journey
• Kayla Judice
• Jerome Michael Kalisek, D.C.
• Sherri Marie Kardell
• Krista Kessler
• Bryan La Sane
• Ashley Colleen Labistour, LMFT
• Ashleigh Catherine Lamberti, LMFT, CATC IV
• Heath N Landress
• Patricia Elizabeth Leads, NURSE PRACTITIONER

• Family Medicine Physician in Carpinteria, CA
• Providers in Carpinteria, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.
• 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.

Verify at the official NPI Registry.