Active NPI
Joo R Kim, M.D.
- Legal Medicine
- Bakersfield, CA
National Provider Identifier
1740200476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- A28531
- Practice address
- 9905 Bace Ave
Bakersfield, CA 93307-6211 - Phone
- (661) 831-1100
- Fax
- (661) 831-8279
- NPI assigned
- Jul 19, 2006
- 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 |
|---|---|---|---|---|
| Legal Medicine | 173000000X | A28531 | CA | Primary |
Addresses
Primary practice location
9905 Bace Ave
Bakersfield, CA 93307-6211
Mailing address
9905 Bace Ave
Bakersfield, CA 93307-6211
Phone (661) 831-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A380850 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A28531 | CA | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740200476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9905 BACE AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933076211",
"telephone_number": "661-831-1100",
"fax_number": "661-831-8279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9905 BACE AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933076211",
"telephone_number": "661-831-1100",
"fax_number": "661-831-8279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOO",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "CA",
"license": "A28531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A380850",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.