Individual provider Active NPI

James Anthony Kim, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Santa Ana, CA
National Provider Identifier
1720249691
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A109521 Issued in CA
Practice address
801 N Tustin Ave Ste 507
Santa Ana, CA 92705-3609
Phone
(949) 566-8688
Fax
(949) 566-8656
NPI assigned
Jun 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A109521 CA Primary

Addresses

Primary practice location

801 N Tustin Ave Ste 507
Santa Ana, CA 92705-3609

Mailing address

801 N Tustin Ave Ste 507
Santa Ana, CA 92705-3609
Phone (949) 566-8688

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
I20121119000155 CA Practitioner - Interventional Pain Management 3678742301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

801 N Tustin Ave
Suite 507
Santa Ana, CA 92705-3609
Phone (949) 566-8688

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gary L Baker MD a Professional Corporation CurrentSince Aug 26, 2012 Accepting new patients

Locations

5750 Downey Ave
Ste 306
Lakewood, CA 90712
Phone (310) 362-3162

10841 White Oak Ave
Ste 208
Rancho Cucamonga, CA 91730
Phone (888) 824-2144

10841 White Oak Ave
#201
Rch Cucamonga, CA 91730
Phone (909) 481-2378

10565 Civic Center Dr
Ste 165
Rch Cucamonga, CA 91730
Phone (888) 824-2144

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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 1

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1720249691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE STE 507",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053609",
            "telephone_number": "949-566-8688",
            "fax_number": "949-566-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE STE 507",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053609",
            "telephone_number": "949-566-8688",
            "fax_number": "949-566-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A109521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.