Organization Active NPI

Hyo J Kim MD PC

  • Clinic/Center
  • Walnut Creek, CA
National Provider Identifier
1689841207
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
G40291 Issued in CA
Legal business name
HYO J KIM MD PC
Practice address
2161 Ygnacio Valley Road
100
Walnut Creek, CA 94598-3348
Phone
(925) 939-3003
NPI assigned
May 13, 2008
Organization subpart
Yes
Parent organization
HYO J KIM MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Dr. Hyo J Kim, MD
Title
President
Phone
(415) 928-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X G40291 CA Primary

Addresses

Primary practice location

2161 Ygnacio Valley Road
100
Walnut Creek, CA 94598-3348

Mailing address

12 Stonegate CT
Alamo, CA 94507-1745
Phone (415) 928-7700

Other names 1

  • heartscan Doing business as

National Provider Directory

National Provider Directory
Part of
Hyo J Kim MD Prof Corp

Locations

389 Oyster Point Blvd
Ste 3
South San Francisco, CA 94080
Phone (800) 469-4327

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1689841207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 STONEGATE CT",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945071745",
            "telephone_number": "415-928-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 YGNACIO VALLEY ROAD",
            "address_2": "100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983348",
            "telephone_number": "925-939-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYO J KIM MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HYO J KIM MD PC",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-928-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G40291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "heartscan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.