Alice Jen Kim, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E5637 Issued in CA

Practice address

450 Rosewood Ave Ste 104
Camarillo, CA 93010-5914

Phone

(805) 200-6994

NPI assigned

May 16, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Foot and Ankle Alliance Inc 2 clinicians

International Center for Minimally Invasive Foot Surgery 3 clinicians

Calabasas Podiatry Group 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082

Merit-based Incentive Payment System (MIPS)

Final score

76 of 100Reported as group

Quality

52

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (6 of 7)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCCJAA/Endpoint/CCCJAA

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.

• 101 Foot and Ankle Inc.

  • Podiatrist
  • Camarillo, CA
  • NPI 1043924335

  CA, Podiatrist

  Medicare reassignment NPD Authorized official
• Calabasas Podiatry Group

  • Foot & Ankle Surgery Podiatrist
  • Woodland Hills, CA
  • NPI 1992443436

  CA

  Medicare reassignment Care Compare group NPD
• International Center for Minimally Invasive Foot Surgery

  • Foot & Ankle Surgery Podiatrist
  • Woodland Hills, CA
  • NPI 1083074579

  CA

  Medicare reassignment Care Compare group NPD
• Foot and Ankle Alliance, Inc

  • Foot & Ankle Surgery Podiatrist
  • Woodland Hills, CA
  • NPI 1770751273

  CA

  Medicare reassignment Care Compare group
• Cutting Edge Surgical Institute, Inc

  • Ambulatory Surgical Clinic/Center
  • Woodland Hills, CA
  • NPI 1720483662

  CA

  Medicare reassignment NPD
• Dignity Health

  • General Acute Care Hospital
  • Oxnard, CA
  • NPI 1073665360
  NPD (past)
• Zeno Surgery Center Inc.

  • Ambulatory Surgical Clinic/Center
  • Woodland Hills, CA
  • NPI 1013645753
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  • General Acute Care Hospital
  • Oxnard, CA
  • NPI 1073665360

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1730616145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 VIA CUPERTINO",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125240",
            "telephone_number": "805-200-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ROSEWOOD AVE STE 104",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105914",
            "telephone_number": "805-200-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ALICE",
        "middle_name": "JEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Physical Therapy Zone Inc
• Paige Riley Kieding
• Dale Gregory Kiker, MD
• Madeline Frances Kildee
• Alexander Hyun Kim, PHARMD
• Catherine Angela Kim, M.D.
• Dong Hyun Kim
• Heidi Kim
• Jinny Kim
• Min Kim

• All providers in Camarillo, CA
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.
• 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.

Verify at the official NPI Registry.