Tae-Soon Kim, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A32370 Issued in CA

Practice address

18895 Colima Rd
Suite B
Rowland Heights, CA 91748-2978

Phone

(626) 965-5025

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Tae-Soon Kim MD Inc

  • Physical Medicine & Rehabilitation Physician
  • Rowland Heights, CA
  • NPI 1699979344
  NPD (past) Authorized official
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1518067586
  NPD (past)
• St. Joseph Health Northern California, LLC

  dba Providence Queen of the Valley Medical Center

  • Rehabilitation Hospital Unit
  • Napa, CA
  • NPI 1609947282
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780627653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18895 COLIMA RD",
            "address_2": "SUITE B",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482978",
            "telephone_number": "626-965-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18895 COLIMA RD",
            "address_2": "SUITE B",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482978",
            "telephone_number": "626-965-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "TAE-SOON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A32370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Chin Kim, O.D.
• Kwang Seob Kim, D.D.S
• Milan Kim, M.D.
• Seong Han Kim, D.C.
• Sungkoo Kim, DDS
• Kimberly Shih O.D., Inc (Rowland Optometry)
• King's Acupuncture Inc.
• Kiwon Youn DDS Inc (California Dentistry and Braces Dental Group)
• Kiwon Youn DDS Inc
• Jin Shim Ko, ACUPUNCTURIST

• Physical Medicine & Rehabilitation Physician in Rowland Heights, CA
• Providers in Rowland Heights, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.