Active NPI
Kerry Kim
- Electroneurodiagnostic Specialist/Technologist
- Sacramento, CA
National Provider Identifier
1801024401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 2025 Morse Ave
Sacramento, CA 95825-2115 - Phone
- (530) 668-8988
- Fax
- (530) 668-1229
- NPI assigned
- Jun 23, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
2025 Morse Ave
Sacramento, CA 95825-2115
Mailing address
216 F St # 76
Davis, CA 95616-4515
Phone (530) 668-8988
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xue Feng Wang, M.D., LTD. | Past | Accepting new patients | |
| Active Diagnostics of NV LLC | Electroneurodiagnostic | Past | Accepting new patients |
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.
-
- Electroneurodiagnostic Specialist/Technologist
- Davis, CA
- NPI 1912065558
Electroneurodiagnostic
-
- Specialist
- Reno, NV
- NPI 1730418674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245715200000",
"number": "1801024401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 F ST # 76",
"city": "DAVIS",
"state": "CA",
"postal_code": "956164515",
"telephone_number": "530-668-8988",
"fax_number": "530-668-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 MORSE AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958252115",
"telephone_number": "530-668-8988",
"fax_number": "530-668-1229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KERRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-23",
"last_updated": "2009-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.