Individual provider Active NPI

Hyunjoong William Kim, MD

  • Diagnostic Radiology Physician
  • San Francisco, CA
National Provider Identifier
1710478250
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A185835 Issued in CA
Practice address
1001 Potrero Avenue
BLDG. 5, 1St FL.
San Francisco, CA 94110
Phone
(628) 206-8020
NPI assigned
May 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 304704 NY
Internal Medicine Physician 207R00000X MT215077 PA
Diagnostic Radiology Physician 2085R0202X A185835 CA Primary

Addresses

Primary practice location

1001 Potrero Avenue
BLDG. 5, 1St FL.
San Francisco, CA 94110

Mailing address

1001 Potrero Avenue
BLDG. 5, 1St FL.
San Francisco, CA 94110

Other practice location 1

1101 Van Ness Ave Fl 3
San Francisco, CA 94109-6919
Phone (415) 600-3232

Other practice location 2

622 W 168th St
New York, NY 10032-3720
Phone (212) 305-4928

Other identifiers 2

IdentifierTypeStateIssuer
100380268MedicaidCA
532689OtherCAANTHEM BLUE CROSS

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
I20230530000965 CA Practitioner - Diagnostic Radiology 8123356797 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Boston University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

1101 Van Ness Ave
San Francisco, CA 94109-6975
Phone (415) 600-3232

1580 Valencia St
San Francisco, CA 94110-4423

1600 Divisadero St
McB302
San Francisco, CA 94115-3010
Phone (415) 476-1000

185 Berry St
San Francisco, CA 94107-5705
Phone (415) 476-1000

225 California Dr
Burlingame, CA 94010-4145
Phone (650) 341-9131

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

2645 Ocean Ave
San Francisco, CA 94132-1633
Phone (415) 574-4800

3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020

3838 California St
San Francisco, CA 94118-1506

3838 California St
RM 801
San Francisco, CA 94118-1510
Phone (415) 600-5400

400 Parnassus Ave
San Francisco, CA 94143-2202

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

55 2ND St
San Francisco, CA 94105-3491
Phone (415) 600-6990

899 Valencia St
San Francisco, CA 94110-1736
Phone (415) 600-6960

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT215077PAMDInternal Medicine Physician
A185835CAMDDiagnostic Radiology Physician
304704NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Jun 22, 2023 Accepting new patients
University of California San Francisco CurrentSince Jun 25, 2023 Accepting new patients
California Advanced Imaging Medical Associates Inc Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jul 1, 2024 Accepting new patients
UCSF Medical Group Business Services Internal Medicine CurrentSince Jun 25, 2023 Accepting new patients
University of California SFGH Medical Group Diagnostic Radiology CurrentSince Jun 22, 2023 Accepting new patients
California Pacific Advanced Imaging CurrentSince Jul 29, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jul 1, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 25, 2023 Accepting new patients
University of California San Francisco CurrentSince Jun 25, 2023 Accepting new patients

Locations (25 of 32)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

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

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

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

1260 S Eliseo Dr
Ste 101
Greenbrae, CA 94904
Phone (415) 461-9033

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

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

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

795 El Camino Real
#1112
Palo Alto, CA 94301

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

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

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

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

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

2333 Buchanan St
San Francisco, CA 94115
Phone (415) 563-4321

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

3838 California St
Rm 101
San Francisco, CA 94118

1101 Van Ness Ave
Fl 3
San Francisco, CA 94109
Phone (415) 600-1900

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

Interoperability endpoints

  • Direct secure messaging: hkim297985@direct-ucsfmedicalcenter.org

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1710478250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVENUE",
            "address_2": "BLDG. 5, 1ST FL.",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVENUE",
            "address_2": "BLDG. 5, 1ST FL.",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "628-206-8020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Van Ness Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941096919",
            "country_code": "US",
            "telephone_number": "415-600-3232",
            "fax_number": "415-447-6335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "622 W 168th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323720",
            "country_code": "US",
            "telephone_number": "212-305-4928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYUNJOONG",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "304704",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT215077",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A185835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100380268",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "532689",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.