Individual provider Active NPI

Nam Uk Kim, MD

  • Hospitalist Physician
  • Irvine, CA
National Provider Identifier
1861572513
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A81797 Issued in CA
Practice address
16200 Sand Canyon Ave
Irvine, CA 92618-3714
Phone
(949) 610-7245
Fax
(657) 241-7720
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A81797 CA
Hospitalist Physician 208M00000X A81797 CA Primary

Addresses

Primary practice location

16200 Sand Canyon Ave
Irvine, CA 92618-3714

Mailing address

PO Box 3589
Newport Beach, CA 92659-8589
Phone (657) 241-3600

Other identifiers 2

IdentifierTypeStateIssuer
CB216061OtherCAMEDICARE PTAN
P01444692OtherCAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050127000657 CA Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Hospitalist 9436109469 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Hospitalist Associates a Medical CorporationGroup PAC ID 6204726102, 93 clinicians

Practice addresses (Care Compare)

16200 Sand Canyon Ave
Irvine, CA 92618-3714
Phone (877) 742-4624

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Hoag Orthopedic Institute Hospital, Irvine, CA, CCN 050769
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A81797CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Dec 3, 2017 Accepting new patients
The Regents of the University of California-Irvine Hospitalist CurrentSince Jul 1, 2004 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Dec 3, 2017 Accepting new patients
Pacific Hospitalist Associates a Medical Corporation Internal Medicine Current Accepting new patients
Pacific Hospitalist Associates a Medical Corporation Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Pacific Hospitalist Associates a Medical Corporation Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
University of California Irvine Past Accepting new patients
Hoag Orthopedic Institute LLC Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

6261 Stanton Ave
Buena Park, CA 90621
Phone (714) 739-4325

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000

16250 Sand Canyon Ave
Irvine, CA 92618
Phone (855) 999-4641

24452 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 630-0584

1120 W Washington Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

14591 Newport Ave
Ste 206
Tustin, CA 92780
Phone (714) 442-4864

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861572513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3589",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926598589",
            "telephone_number": "657-241-3600",
            "fax_number": "657-241-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 SAND CANYON AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183714",
            "telephone_number": "949-610-7245",
            "fax_number": "657-241-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "NAM",
        "middle_name": "UK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81797",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A81797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB216061",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01444692",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.