Organization Active NPI

Nancy M Kim Inc

  • Family Medicine Physician
  • Mission Hills, CA
National Provider Identifier
1699162941
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A82341 Issued in CA
Legal business name
NANCY M KIM INC
Practice address
11550 Indiana Hills Rd
301
Mission Hills, CA 91345
Phone
(818) 287-7455
Fax
(818) 287-6919
NPI assigned
Apr 23, 2015
Last updated
May 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Dr. Nancy M Kim, MD
Title
Ceo
Phone
(818) 287-7455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A82341 CA Primary

Addresses

Primary practice location

11550 Indiana Hills Rd
301
Mission Hills, CA 91345

Mailing address

6520 Platt Ave
459
West Hills, CA 91307-3218
Phone (818) 287-7455

National Provider Directory

National Provider Directory

Locations

6520 Platt Ave
#459
West Hills, CA 91307

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1699162941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 PLATT AVE",
            "address_2": "459",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073218",
            "telephone_number": "818-287-7455",
            "fax_number": "818-287-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIANA HILLS RD",
            "address_2": "301",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "91345",
            "telephone_number": "818-287-7455",
            "fax_number": "818-287-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY M KIM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-287-7455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A82341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.