David Soung Kim, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G24994 Issued in CA

Practice address

1783 El Camino Real
Burlingame, CA 94010-3205

Phone

(650) 696-5500

Fax

(650) 696-5378

NPI assigned

Jul 10, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mills Peninsula Emergency Medical Associates Inc

  • Emergency Medicine Physician
  • San Mateo, CA
  • NPI 1548298318
  NPD (past)
• Mills Peninsula Emergency Medical Associates Inc

  • Emergency Medicine Physician
  • Burlingame, CA
  • NPI 1841226529
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1669406013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25975 COLT LN",
            "city": "CARMEL VALLEY",
            "state": "CA",
            "postal_code": "939249204",
            "telephone_number": "415-323-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 EL CAMINO REAL",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103205",
            "telephone_number": "650-696-5500",
            "fax_number": "650-696-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAVID",
        "middle_name": "SOUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G24994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G249940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariam Khan, M.S. CF-SLP
• Zeest Khan, M.D.
• Mondana Khayyam-Arami, DDS
• Evelyn Khoo, MD
• Kim L Cooper MD a Professional Corporation
• Houn Young Kim, D.D.S.
• Joanne J Kim, MD
• Lawrence Yongshik Kim, M.D.
• Nicholas Kim
• Sera Kim, MD

• Emergency Medicine Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.