Active NPI
Esther Yoonah Kim, MD
- Plastic and Reconstructive Surgery Physician
- Temecula, CA
National Provider Identifier
1740364280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- A69717
- Practice address
- 41715 Winchester Rd
Suite 201-a
Temecula, CA 92590-4808 - Phone
- (951) 699-9201
- Fax
- (951) 699-9205
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A69717 | CA | Primary |
Addresses
Primary practice location
41715 Winchester Rd
Suite 201-a
Temecula, CA 92590-4808
Mailing address
41540 Winchester Rd
Suite B
Temecula, CA 92590-4877
Phone (951) 699-9201
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 |
|---|---|---|---|
| A69717 | CA | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Institute for Plastic Surgery Inc | Plastic and Reconstructive Surgery | Current | Accepting new patients |
| Lux Surgery Center, Inc. | Current | Accepting new patients | |
| Mission Surgical Clinic, Inc. | Past | Accepting new patients |
Locations
41715 Winchester Rd
Ste 201A
Temecula, CA 92590
Phone (909) 296-9499
41540 Winchester Rd
Ste B
Temecula, CA 92590
Phone (909) 296-1822
Organizations & group practices 3
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.
-
- Plastic and Reconstructive Surgery Physician
- Temecula, CA
- NPI 1871747923
-
- Ambulatory Surgical Clinic/Center
- Temecula, CA
- NPI 1033958020
-
- Surgery Physician
- Riverside, CA
- NPI 1457300436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226620800000",
"number": "1740364280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41540 WINCHESTER RD",
"address_2": "SUITE B",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925904877",
"telephone_number": "951-699-9201",
"fax_number": "951-699-9205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41715 WINCHESTER RD",
"address_2": "SUITE 201-A",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925904808",
"telephone_number": "951-699-9201",
"fax_number": "951-699-9205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ESTHER",
"middle_name": "YOONAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2008-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A69717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.