Stevens Kim MD and Stephen Lin MD Medical Group Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

STEVENS KIM MD AND STEPHEN LIN MD MEDICAL GROUP INC

Doing business as

Valley Laser Surgery Center, Inc.

Practice address

36 W Yokuts Ave
Suite 3
Stockton, CA 95207-5713

Phone

(209) 952-1189

Fax

(209) 952-1174

NPI assigned

Dec 1, 2006

Last updated

Mar 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stevens Young Jun Kim, M.D.NPI 1437258183

Title

Secretary and Treasurer

Phone

(209) 952-1189

Specialties & licenses 2

Addresses

Other names 1

• Valley Laser Surgery Center, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Valley Laser and Surgery Center IncCCN 55C0001050

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Modesto Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Modesto, CA
  • NPI 1356463913

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Youngjun Choi, M.D.

  • Ophthalmology Physician
  • Stockton, CA
  • NPI 1801164827
  Medicare reassignment NPD
• Stevens Young-Jun Kim, MD

  • Ophthalmology Physician
  • Stockton, CA
  • NPI 1437258183
  NPD Authorized official
• Stephen Andrew Lin, MD

  • Ophthalmology Physician
  • Stockton, CA
  • NPI 1073612735
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1669540118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 W YOKUTS AVE",
            "address_2": "SUITE 3",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075713",
            "telephone_number": "209-952-1189",
            "fax_number": "209-952-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W YOKUTS AVE",
            "address_2": "SUITE 3",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075713",
            "telephone_number": "209-952-1189",
            "fax_number": "209-952-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS KIM MD AND STEPHEN LIN MD MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STEVENS",
        "authorized_official_middle_name": "YOUNG JUN",
        "authorized_official_title_or_position": "SECRETARY AND TREASURER",
        "authorized_official_telephone_number": "209-952-1189",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "G76813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Laser Surgery Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hazel Sterling
• Stetson Court Living
• Stetson Court Living, LLC (Stetson Court Living)
• Holly Marie Stetson, MSW
• Steven L Goldberg MD Inc
• Dakota Stevens
• Megan Lee Stevens, ASW
• Stacie Marie Stevens
• Kristen Stevenson, M.
• Sarah Dana Stevenson

• Ambulatory Surgical Clinic/Center in Stockton, CA
• Providers in Stockton, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.