Individual provider Active NPI

Young Kim, MD,PHD

  • Cardiovascular Disease Physician
  • San Jose, CA
National Provider Identifier
1700207941
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A127211 Issued in CA
Practice address
2400 Samaritan Dr Ste 100
San Jose, CA 95124-3910
Phone
(650) 289-8483
NPI assigned
Dec 13, 2013
Last updated
May 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A127211 CA
Cardiovascular Disease Physician 207RC0000X A127211 CA Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X A127211 CA

Addresses

Primary practice location

2400 Samaritan Dr Ste 100
San Jose, CA 95124-3910

Mailing address

2400 Samaritan Dr Ste 100
San Jose, CA 95124-3910
Phone (650) 289-8483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO, NE, OR, NV, PA, IL7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20150317000015 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac ElectrophysiologyPractitioner - Internal Medicine 9133446990 Reassigns benefits to 3 organizations
I20200316000449 MO Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 9133446990 Reassigns benefits to 1 organization
I20210302002007 NE Practitioner - Cardiac Electrophysiology 9133446990 Reassigns benefits to 1 organization
I20230731001457 OR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9133446990 Reassigns benefits to 1 organization
I20250507001166 NV Practitioner - Cardiovascular Disease (Cardiology) 9133446990 Reassigns benefits to 1 organization
I20251204000234 PA Practitioner - Cardiac Electrophysiology 9133446990 Reassigns benefits to 1 organization
I20260219001429 IL Practitioner - Cardiac Electrophysiology 9133446990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Vincent Consultants in Cardiovascular DiseasesGroup PAC ID 7214124221, 27 clinicians

Practice addresses (Care Compare)

2315 Myrtle St
Suite 190
Erie, PA 16502-4604
Phone (814) 453-7767

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A127211CAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Hospital Kearney Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Feb 1, 2026 Accepting new patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
Salem Health Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Jan 25, 2015 Accepting new patients
Bryan Hospital Kearney CurrentSince Jan 1, 2022 Accepting new patients
Challapalli Cardiology PC Cardiovascular Disease CurrentSince Apr 21, 2025 Accepting new patients
Salem Health CurrentSince Aug 1, 2024 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jan 25, 2015 Accepting new patients
Young Kim MD Inc Cardiovascular Disease Current Accepting new patients
Fairview Heights Medical Group SC CurrentSince Feb 1, 2026 Accepting new patients
Saint Vincent Consultants in Cardiovascular Diseases Cardiovascular Disease CurrentSince Oct 15, 2025 Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
Stanford Health Care Internal Medicine Past Accepting new patients

Locations

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

2400 Samaritan Dr
Ste 100
San Jose, CA 95124
Phone (408) 403-5996

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

1225 Graham Rd
Ste C-2310
Florissant, MO 63031
Phone (314) 953-6300

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263

4790 Caughlin Pkwy
Reno, NV 89519
Phone (775) 348-9798

5375 Reno Corporate Dr
Reno, NV 89511
Phone (775) 376-9426

5385 Reno Corporate Dr
Reno, NV 89511
Phone (775) 384-1134

525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344

1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

2315 Myrtle St
Ste 190
Erie, PA 16502
Phone (814) 453-7767

Interoperability endpoints

  • Direct secure messaging: ykim1062386@direct.ahn.org
  • Direct secure messaging: ykim654264@hisp.ehr.sutterhealth.org

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1700207941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SAMARITAN DR STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243910",
            "telephone_number": "650-289-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SAMARITAN DR STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243910",
            "telephone_number": "650-289-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "credential": "MD,PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-13",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A127211",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A127211",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A127211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.