Bangsun Justin Kim M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BANGSUN JUSTIN KIM M.D., INC.

Doing business as

Kim Medical Group

Practice address

2500 Alton Pkwy
Suite 108
Irvine, CA 92606-5024

Phone

(949) 552-8282

Fax

(949) 552-2215

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bangsun Justin Kim, M.D.

Title

President

Phone

(949) 552-8282

Specialties & licenses 1

Addresses

Other names 1

• Kim Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HGBECD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bang S Kim, M.D.

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1821142167
  Medicare reassignment NPD

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1700072550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ALTON PKWY",
            "address_2": "SUITE 108",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065024",
            "telephone_number": "949-552-8282",
            "fax_number": "949-552-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ALTON PKWY",
            "address_2": "SUITE 108",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065024",
            "telephone_number": "949-552-8282",
            "fax_number": "949-552-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANGSUN JUSTIN KIM M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BANGSUN",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-552-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kim Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Banaag
• MC Darryl Banares, MSN,RN
• Sahitya Banavar
• Raina Baney
• Ryanne Bangi
• Brian Scott Banh, DPT
• Jeffrey Banh, DPT
• Cheyenne Marie Banks
• Coletta Banks, LMFT
• Gabriel Banos

• Internal Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.