Individual provider Active NPI

Thomas J Kim, M.D.

  • Reproductive Endocrinology Physician
  • Los Angeles, CA
National Provider Identifier
1851441208
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
G63902 Issued in CA
Practice address
11500 W Olympic Blvd Ste 150
Los Angeles, CA 90064-1527
Phone
(424) 293-8841
Fax
(424) 293-8842
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 25MA08326900 NJ
Reproductive Endocrinology Physician 207VE0102X G63902 CA Primary

Addresses

Primary practice location

11500 W Olympic Blvd Ste 150
Los Angeles, CA 90064-1527

Mailing address

140 Allen Rd
Basking Ridge, NJ 07920-2976
Phone (908) 604-7800

Other practice location 1

140 Allen Rd
Basking Ridge, NJ 07920-2976
Phone (908) 604-7800

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G63902CAMDReproductive Endocrinology Physician
25MA08326900NJMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCRC Medical Group PC Reproductive Endocrinology Past Accepting new patients
Reproductive Medicine Associates of Southern California Reproductive Endocrinology PastSince Sep 14, 2025 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1851441208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ALLEN RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202976",
            "telephone_number": "908-604-7800",
            "fax_number": "973-290-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 150",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641527",
            "telephone_number": "424-293-8841",
            "fax_number": "424-293-8842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Allen Rd",
            "address_purpose": "LOCATION",
            "city": "Basking Ridge",
            "state": "NJ",
            "postal_code": "079202976",
            "country_code": "US",
            "telephone_number": "908-604-7800",
            "fax_number": "973-290-8370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NJ",
            "license": "25MA08326900",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "G63902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.