Active NPI
Sarah Young Kim, O.D.
- Optometrist
- El Dorado Hills, CA
National Provider Identifier
1659618031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11276
- Practice address
- 4027 Macpheadris Way
El Dorado Hills, CA 95762-7541 - Phone
- (213) 448-1454
- Fax
- (916) 487-2603
- NPI assigned
- Jan 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11276 | CA | Primary |
Addresses
Primary practice location
4027 Macpheadris Way
El Dorado Hills, CA 95762-7541
Mailing address
4027 Macpheadris Way
El Dorado Hills, CA 95762-7541
Phone (213) 448-1454
Other names 1
- Sarah Young Lee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11276 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357430400000",
"number": "1659618031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4027 MACPHEADRIS WAY",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957627541",
"telephone_number": "213-448-1454",
"fax_number": "916-487-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4027 MACPHEADRIS WAY",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957627541",
"telephone_number": "213-448-1454",
"fax_number": "916-487-2603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SARAH",
"middle_name": "YOUNG",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-06",
"last_updated": "2013-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "LEE",
"middle_name": "YOUNG",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.