Active NPI
Grace L Kim, M.D.
- Anesthesiology Physician
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A48699
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A486990 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48699 | CA | MD | Dental Assistant |
| A48699 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Medical Group of Santa Cruz, Inc. | Anesthesiology | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Iqbal M Mirza MD Professional Corporation | Anesthesiology | Current | Accepting new patients |
| Silicon Valley Anesthesia Associates, Inc. | Anesthesiology | Current | Accepting new patients |
| San Luis Internal Medicine Associates, a Medical Corporation | Past | Accepting new patients | |
| Doctor Yu Dental Corporation | Past | 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.
-
- Anesthesiology Physician
- San Jose, CA
- NPI 1427500040
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Anesthesiology Physician
- Santa Cruz, CA
- NPI 1871541144
-
- Anesthesiology Physician
- Los Gatos, CA
- NPI 1417222985
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Dentist
- San Luis Obispo, CA
- NPI 1205795945
-
- Internal Medicine Physician
- San Luis Obispo, CA
- NPI 1861475154
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Cruz, CA
- NPI 1689035628
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.