Owen C Kim, M.D.

Primary specialty

Therapeutic Radiology PhysicianTaxonomy code 2085R0203X

License

G048257 Issued in CA

Practice address

465 W Putnam Ave
Porterville, CA 93257-3320

Phone

(559) 788-6175

Fax

(559) 782-7647

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Radiation OncologyAlso: Pain Management

Education

University of California, Geffen School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bristol Hospice Fresno Hospice, Fresno, CA, CCN 051769
• Sierra View Medical Center Hospital, Porterville, CA, CCN 050261
• Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Optimal Hospice, Inc.

  • Community Based Hospice Care Agency
  • Fresno, CA
  • NPI 1164590089

  Contracted Managing Employee

  CMS ownership

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

• Kaweah Delta Health Care District

  • General Acute Care Hospital
  • Visalia, CA
  • NPI 1588663769
  Care Compare affiliation
• Optimal Hospice, Inc.

  • Community Based Hospice Care Agency
  • Fresno, CA
  • NPI 1164590089
  Care Compare affiliation
• Sierra View Local Health Care District

  • General Acute Care Hospital
  • Porterville, CA
  • NPI 1639143381
  Care Compare affiliation

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861574352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573320",
            "telephone_number": "559-788-6175",
            "fax_number": "559-782-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573320",
            "telephone_number": "559-788-6175",
            "fax_number": "559-782-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "OWEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "CA",
            "license": "G048257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akashdeep Singh Khahera, M.D.
• Obaid Khan, DO
• Albert Howard Khoo, MD
• Byungjoon Kim
• Enoth Dougwon Kim, DMD
• Sung Ho Kim, D.D.S.
• Yeun Soo Kim, PHARMD, RPH
• Hilary Ann King, ATC
• Kings View
• Kings View

• Therapeutic Radiology Physician in Porterville, CA
• Providers in Porterville, CA by specialty
• Therapeutic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.