Jim C. Kim, M.D., Inc

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

A067383 Issued in CA

Legal business name

JIM C. KIM, M.D., INC

Doing business as

Advanced Rheumatology and Arthritis Center

Practice address

2203 17TH St
Bakersfield, CA 93301-3634

Phone

(661) 716-0333

Fax

(661) 716-1288

NPI assigned

Dec 15, 2006

Last updated

Nov 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jim C. Kim, M.D.NPI 1992762769

Title

President

Phone

(661) 716-0333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Rheumatology and Arthritis Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: jim.kim@direct.rheum.nextgenshare.com

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jim C Kim, MD

  • Rheumatology Physician
  • Bakersfield, CA
  • NPI 1992762769
  Medicare reassignment Care Compare group NPD Authorized official
• Le CHI Nguyen, MSN, FNP-BC

  • Family Nurse Practitioner
  • Huntington Beach, CA
  • NPI 1184894545
  Medicare reassignment Care Compare group NPD
• Mae Carmela Altavas

  • Family Nurse Practitioner
  • San Francisco, CA
  • NPI 1508261686
  Medicare reassignment NPD

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1841352663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 17TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013634",
            "telephone_number": "661-716-0333",
            "fax_number": "661-716-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 17TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013634",
            "telephone_number": "661-716-0333",
            "fax_number": "661-716-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM C. KIM, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-716-0333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A067383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RAILROAD GROUP #",
            "identifier": "DF4957",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jim.kim@direct.rheum.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2203 17th St",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933013634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced Rheumatology and Arthritis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Rheumatology and Arthritis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manpreet Singh Jhandi
• Inhye Jennifer Jhon
• Haiyang Jiang
• Helen Yiyun Jiang, M.D.
• Huiyuan Jiang, M.D.
• Jim Malone DPM a Professional Corp
• Abdon Fernando Jimenez Almanza
• Sarah Anne Jimenez-Puente
• Alex Jimenez
• Andres Jimenez

• Rheumatology Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.