Active NPI
Geon Kim, CRNA
- Certified Registered Nurse Anesthetist
- Lompoc, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95000371
- Practice address
- 1515 E Ocean Ave
Lompoc, CA 93436-7092 - Phone
- (805) 737-3300
- NPI assigned
- Oct 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 726346 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 95000371 | CA | Primary |
Addresses
Primary practice location
1515 E Ocean Ave
Lompoc, CA 93436-7092
Mailing address
1515 E Ocean Ave
Lompoc, CA 93436-7092
Phone (805) 737-3300
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gkim226571@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | gkim226571@direct.urmc.rochester.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VA, DC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Clara Barton St
Dansville, NY 14437-9503
Phone (585) 335-8639
191 N Main St
Wellsville, NY 14895-1150
Phone (585) 596-0145
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000
500 Hospital Dr
Warrenton, VA 20186-3027
Phone (540) 316-5000
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2141
601 Elmwood Ave Box
Rochester, NY 14642-0001
7309 Seneca Rd N
Hornell, NY 14843-9691
7329 Seneca Rd N
Hornell, NY 14843-9684
Phone (607) 247-2200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.2 of 100
- Quality
- 60.03
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.33
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.99 of 100
- Quality
- 77.37
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95000371 | CA | MD | Certified Registered Nurse Anesthetist |
| 726346 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | Current | Accepting new patients | |
| St James Hospital | Current | Accepting new patients | |
| The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| U of R Anesthesiology Group | Current | Accepting new patients | |
| Niagara Frontier Anesthesia Services LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Inova Cares - Community | Current | Accepting new patients | |
| Nicholas H. Noyes Memorial Hospital | Current | Accepting new patients |
Locations
73 Buffalo St
Ste 100
Canandaigua, NY 14424
111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100
7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790
200 Ohio St
Medina, NY 14103
Phone (585) 798-2000
7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141
400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555
191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, VA
-
- General Acute Care Hospital
- Dansville, NY
- NPI 1982625661
-
- Rural Acute Care Hospital
- Hornell, NY
- NPI 1013985399
-
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
-
- Anesthesiology Physician
- Rochester, NY
- NPI 1609806488
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Certified Registered Nurse Anesthetist
- West Seneca, NY
- NPI 1962444505
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Rural Health Clinic/Center
- Hornell, NY
- NPI 1457974644
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warrenton, VA
- NPI 1912334517
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- General Acute Care Hospital
- Dansville, NY
- NPI 1982625661
-
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1700258837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 E OCEAN AVE",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934367092",
"telephone_number": "805-737-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 E OCEAN AVE",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934367092",
"telephone_number": "805-737-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "GEON",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-28",
"last_updated": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "726346",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95000371",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gkim226571@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gkim226571@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.