Active NPI
Thomas J Kim, M.D.
- Reproductive Endocrinology Physician
- Los Angeles, CA
National Provider Identifier
1851441208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- G63902
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G63902 | CA | MD | Reproductive Endocrinology Physician |
| 25MA08326900 | NJ | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCRC Medical Group PC | Reproductive Endocrinology | Past | Accepting new patients |
| Reproductive Medicine Associates of Southern California | Reproductive Endocrinology | Past | 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.
-
- Ambulatory Surgical Clinic/Center
- Los Angeles, CA
- NPI 1912542994
-
dba RMA-SoCal
- Reproductive Endocrinology Physician
- Burbank, CA
- NPI 1679080923
-
- Reproductive Endocrinology Physician
- Beverly Hills, CA
- NPI 1538704119
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.