Individual provider Active NPI

Michael Kim, M.D.

  • Anesthesiology Physician
  • Yorba Linda, CA
National Provider Identifier
1861658486
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A116203 Issued in CA
Practice address
3757 Camino Cermenon
Yorba Linda, CA 92886-6213
Phone
(562) 774-5597
NPI assigned
Aug 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A116203 CA Primary

Addresses

Primary practice location

3757 Camino Cermenon
Yorba Linda, CA 92886-6213

Mailing address

3757 Camino Cermenon
Yorba Linda, CA 92886-6213

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
I20110915000776 CA Practitioner - Anesthesiology 2062683428 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citrus Valley Anesthesia Medical GroupGroup PAC ID 8628982501, 17 clinicians
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians
Orange Coast Anesthesia IncGroup PAC ID 2466613591, 85 clinicians

Practice addresses (Care Compare)

1115 S Sunset Ave
West Covina, CA 91790-3940
Phone (626) 795-6596

12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811

1301 N Rose Dr
Placentia, CA 92870-3802
Phone (714) 993-2000

Hospital & facility affiliations

  • 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
A116203CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Coast Anesthesia Inc Anesthesiology CurrentSince Aug 28, 2023 Accepting new patients
Crystal Anesthesiology Inc Anesthesiology CurrentSince Apr 24, 2023 Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Aug 23, 2024 Accepting new patients

Locations

2725 16th St
Bakersfield, CA 93301
Phone (661) 401-2800

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

3500 Barranca Pkwy
Ste 130
Irvine, CA 92606
Phone (949) 522-6266

1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151

681 S Parker St
Orange, CA 92868
Phone (714) 744-0439

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

681 S Parker St
Ste 150
Orange, CA 92868
Phone (562) 805-7918

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

1301 N Rose Dr
Placentia, CA 92870
Phone (714) 524-4252

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Organizations & group practices 5

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 2

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": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1861658486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3757 CAMINO CERMENON",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928866213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3757 CAMINO CERMENON",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928866213",
            "telephone_number": "562-774-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-03",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A116203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.