Duke D Kim, MD

Primary specialty

Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X

License

A24150 Issued in CA

Practice address

26302 La Paz Rd
Mission Viejo, CA 92691-5313

Phone

(949) 328-9972

Fax

(949) 328-9976

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: dukekim@clchc.allscriptsdirect.net

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.

• Mission Pediatric Medical Clinic, Inc.

  • Pediatrics Physician
  • Mission Viejo, CA
  • NPI 1538234646
  Medicare reassignment NPD Authorized official
• Mission Pediatric Med CL

  • Allergy & Immunology Physician
  • Mission Viejo, CA
  • NPI 1124390679
  NPD Authorized official
• Celebrating Life Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Mission Viejo, CA
  • NPI 1386273100
  NPD
• Janet B. Kim, M.D., Inc.

  • Allergy & Immunology Physician
  • Mission Viejo, CA
  • NPI 1114007697
  NPD
• Buena Park Medical Group

  • Family Medicine Physician
  • Buena Park, CA
  • NPI 1477625671
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1780690636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD STE 106",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915327",
            "telephone_number": "949-328-9972",
            "fax_number": "949-328-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915313",
            "telephone_number": "949-328-9972",
            "fax_number": "949-328-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DUKE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "A24150",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A24150",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "CA",
            "license": "A24150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Jeone Kim, MD
• Bryan Kim, D.D.S.
• Daniel Kim, MD
• Daniel B. Kim, M.D.
• Daniel Youngjoo Kim
• Esther Kim
• Fred Kim, DPT
• Gina Kim
• Hyun Yil Henry Kim, DMD
• Janet Bonnie Kim, M.D.

• Pediatric Allergy/Immunology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Pediatric Allergy/Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.