Individual provider Active NPI

Ernest Kim

  • Chiropractor
  • Torrance, CA
National Provider Identifier
1831511633
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32746 Issued in CA
Practice address
4640 Del Amo Blvd
Torrance, CA 90503-1939
Phone
(310) 800-1418
NPI assigned
Jan 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC15965 CA
Chiropractor 111N00000X 32746 CA Primary

Addresses

Primary practice location

4640 Del Amo Blvd
Torrance, CA 90503-1939

Mailing address

4640 Del Amo Blvd
Torrance, CA 90503-1939
Phone (310) 800-1418

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

State licenses

LicenseStateTypeSpecialty
32746CAMDGeneral Practice Dentistry
AC15965CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Back on Point Wellness Dr. Kim Chiropractic, Inc. Chiropractor CurrentSince Mar 9, 2020 Accepting new patients
Re Nu Mi Wellness Center, Inc. Acupuncturist Past Accepting new patients

Locations

901 N Pacific Coast Hwy
Ste 106
Redondo Beach, CA 90277
Phone (310) 362-3043

4640 Del Amo Blvd
Torrance, CA 90503
Phone (310) 800-1314

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": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1831511633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 DEL AMO BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031939",
            "telephone_number": "310-800-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 DEL AMO BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031939",
            "telephone_number": "310-800-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ERNEST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-13",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15965",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.