Individual provider Active NPI

Hanna Kim, MD

  • Reproductive Endocrinology Physician
  • Newport Beach, CA
National Provider Identifier
1790282416
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
A203860 Issued in CA
Practice address
3501 Jamboree Rd Ste 1100
Newport Beach, CA 92660-2956
Phone
(949) 222-1290
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X A203860 CA Primary
Obstetrics & Gynecology Physician 207V00000X 35.145119 OH
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3501 Jamboree Rd Ste 1100
Newport Beach, CA 92660-2956

Mailing address

3501 Jamboree Rd Ste 1100
Newport Beach, CA 92660-2956
Phone (949) 222-1290

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

LicenseStateTypeSpecialty
A203860CAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark T Kan, Inc Reproductive Endocrinology Past Accepting new patients
CCRM Newport Beach Reproductive Endocrinology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hkim81113@direct.phhs.org
  • Direct secure messaging: hanna.kim.1@17469.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1790282416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD STE 1100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602956",
            "telephone_number": "949-222-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD STE 1100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602956",
            "telephone_number": "949-222-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "A203860",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.145119",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.