Individual provider Active NPI

Grace L Kim, M.D.

  • Anesthesiology Physician
  • San Luis Obispo, CA
National Provider Identifier
1740276989
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A48699 Issued in CA
Practice address
805 Aerovista PL
Suite 106
San Luis Obispo, CA 93401-7919
Phone
(805) 541-1595
Fax
(805) 594-1241
NPI assigned
Sep 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A48699 CA Primary

Addresses

Primary practice location

805 Aerovista PL
Suite 106
San Luis Obispo, CA 93401-7919

Mailing address

PO Box 6406
Santa Maria, CA 93456-6406
Phone (805) 928-1731

Other practice location 1

2900 Chanticleer Ave
Santa Cruz, CA 95065-1816
Phone (831) 477-2200

Other identifiers 1

IdentifierTypeStateIssuer
00A486990MedicaidCA

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
I20151214001159 CA Practitioner - Anesthesiology 9032410287 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silicon Valley Anesthesia Associates IncGroup PAC ID 7618235003, 17 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

2340 Montpelier Dr
San Jose, CA 95116-1622
Phone (408) 538-8934

2900 Chanticleer Ave
Santa Cruz, CA 95065-1816

550 S Green Valley Rd
Watsonville, CA 95076-3053
Phone (831) 458-5865

Hospital & facility affiliations

  • Sutter Maternity & Surgery Center of Santa Cruz Hospital, Santa Cruz, CA, CCN 050714

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48699CAMDDental Assistant
A48699CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Medical Group of Santa Cruz, Inc. Anesthesiology CurrentSince Nov 2, 2015 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jan 26, 2026 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jan 26, 2026 Accepting new patients
Iqbal M Mirza MD Professional Corporation Anesthesiology CurrentSince Jul 3, 2018 Accepting new patients
Silicon Valley Anesthesia Associates, Inc. Anesthesiology CurrentSince Sep 12, 2022 Accepting new patients
San Luis Internal Medicine Associates, a Medical Corporation PastSince Mar 18, 2002 Accepting new patients
Doctor Yu Dental Corporation PastSince Dec 22, 2025 Accepting new patients

Locations

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

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

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

555 Knowles Dr
Ste 115
Los Gatos, CA 95032
Phone (408) 374-4400

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

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

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

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

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

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

2340 Montpelier Dr
San Jose, CA 95116
Phone (408) 515-2428

235 Oconnor Dr
San Jose, CA 95128
Phone (408) 279-0791

2039 Forest Ave
Ste 101
San Jose, CA 95128
Phone (408) 293-4211

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

2900 Chanticleer Ave
Santa Cruz, CA 95065
Phone (831) 477-2200

3003 Paul Sweet Rd
Santa Cruz, CA 95065
Phone (831) 462-1607

1555 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Organizations & group practices 7

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1740276989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6406",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934566406",
            "telephone_number": "805-928-1731",
            "fax_number": "805-349-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 AEROVISTA PL",
            "address_2": "SUITE 106",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017919",
            "telephone_number": "805-541-1595",
            "fax_number": "805-594-1241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Chanticleer Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950651816",
            "country_code": "US",
            "telephone_number": "831-477-2200",
            "fax_number": "831-477-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "GRACE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A48699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A486990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.