Individual provider Active NPI

Lena H. Kim, MD

  • Maternal & Fetal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1700964566
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
854228 Issued in CA
Practice address
1100 Van Ness Ave FL 4
San Francisco, CA 94109
Phone
(415) 600-6400
Fax
(415) 369-1284
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 854228 CA Primary

Addresses

Primary practice location

1100 Van Ness Ave FL 4
San Francisco, CA 94109

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (415) 600-6400

Other practice location 1

1300 S Eliseo Dr
Greenbrae, CA 94904-2023
Phone (415) 353-3150

Other practice location 2

1580 Valencia St Ste 601
San Francisco, CA 94110-4422
Phone (415) 600-6388

Other practice location 3

1501 Trousdale Dr Fl 2
Burlingame, CA 94010-4506
Phone (415) 600-6388

Other practice location 4

165 Rowland Way Ste 201
Novato, CA 94945-5055
Phone (415) 600-6400

Other practice location 5

5730 Telegraph Ave Ste 117
Oakland, CA 94609-1710
Phone (415) 600-6400

Other practice location 6

1720 El Camino Real Ste 130
Burlingame, CA 94010-3226
Phone (415) 600-6388

Other practice location 7

3700 California St Ste 4360
San Francisco, CA 94118-1618
Phone (415) 600-6400

Other practice location 8

990 Sonoma Ave Ste 9
Santa Rosa, CA 95404-4813
Phone (415) 600-6388

Other identifiers 1

IdentifierTypeStateIssuer
00A792090MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040828000129 CA Practitioner - Obstetrics/Gynecology 3678548179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Harvard Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

3838 California St
San Francisco, CA 94118-1506

3883 Airway Dr
Santa Rosa, CA 95403-1671

5300 Snyder LN
Rohnert Park, CA 94928-2915
Phone (707) 585-8347

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
854228CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter East Bay Medical Foundation Obstetrics & Gynecology Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
University of California Irvine Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations (25 of 26)

1501 Trousdale Dr
Fl 2
Burlingame, CA 94010
Phone (650) 652-8310

1720 El Camino Real
Ste 130
Burlingame, CA 94010
Phone (650) 692-0977

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

165 Rowland Way
Ste 201
Novato, CA 94945
Phone (415) 600-1817

5730 Telegraph Ave
Ste 117
Oakland, CA 94609
Phone (510) 204-1507

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

5300 Snyder Ln
Ste A
Rohnert Park, CA 94928
Phone (707) 585-8347

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

1580 Valencia St
Ste 506
San Francisco, CA 94110
Phone (415) 641-6500

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

3700 California St
Ste 4360
San Francisco, CA 94118
Phone (415) 600-2641

1100 Van Ness Ave
Fl 4
San Francisco, CA 94109
Phone (415) 600-0930

1580 Valencia St
Ste 601
San Francisco, CA 94110
Phone (415) 600-6388

3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

4000 Civic Center Dr
Ste 205
San Rafael, CA 94903
Phone (415) 479-7244

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

Interoperability endpoints

  • Direct secure messaging: lkim226801@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1700964566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VAN NESS AVE FL 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94109",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 S Eliseo Dr",
            "address_purpose": "LOCATION",
            "city": "Greenbrae",
            "state": "CA",
            "postal_code": "949042023",
            "country_code": "US",
            "telephone_number": "415-353-3150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1580 Valencia St Ste 601",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941104422",
            "country_code": "US",
            "telephone_number": "415-600-6388",
            "fax_number": "415-369-1384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Trousdale Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940104506",
            "country_code": "US",
            "telephone_number": "415-600-6388",
            "fax_number": "415-369-1384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Rowland Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949455055",
            "country_code": "US",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5730 Telegraph Ave Ste 117",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946091710",
            "country_code": "US",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 El Camino Real Ste 130",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940103226",
            "country_code": "US",
            "telephone_number": "415-600-6388",
            "fax_number": "415-369-1384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 California St Ste 4360",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941181618",
            "country_code": "US",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "990 Sonoma Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954044813",
            "country_code": "US",
            "telephone_number": "415-600-6388",
            "fax_number": "415-369-1384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "LENA",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "854228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A792090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.