Active NPI
Eugene Kim, M.D.
- Psychiatry Physician
- Sacramento, CA
National Provider Identifier
1710312129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A137234
- Practice address
- 4250 Auburn Blvd
Sacramento, CA 95841 - Phone
- (916) 489-3336
- NPI assigned
- Sep 5, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A137234 | CA | Primary |
Addresses
Primary practice location
4250 Auburn Blvd
Sacramento, CA 95841
Mailing address
PO Box 1958
North Highlands, CA 95660-8958
Phone (916) 489-3336
Other practice location 1
1700 Mount Vernon Ave
UCLA-Kern Psychiatry Department
Bakersfield, CA 93306-4018
Phone (661) 326-5410
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180705002435 | CA | Practitioner - Psychiatry | 2365798386 | Practice locations: Sacramento, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A137234 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1710312129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1958",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956608958",
"telephone_number": "916-489-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 AUBURN BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95841",
"telephone_number": "916-489-3336"
}
],
"practiceLocations": [
{
"address_1": "1700 Mount Vernon Ave",
"address_2": "UCLA-Kern Psychiatry Department",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933064018",
"country_code": "US",
"telephone_number": "661-326-5410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "EUGENE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-05",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A137234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.