Sung Jin Kim, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

42303 Issued in CA

Practice address

1706 W Orangethorpe Ave Ste F
Fullerton, CA 92833-4556

Phone

(714) 475-1400

NPI assigned

Mar 30, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• James Kim Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Sung J Kim Physical Therapy ApcGroup PAC ID 9032474960, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sung J. Kim Physical Therapy, Apc

  • Physical Therapy Clinic/Center
  • Fullerton, CA
  • NPI 1538656012

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1861887747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 RAVENCREST RD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052953",
            "telephone_number": "714-356-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 W ORANGETHORPE AVE STE F",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334556",
            "telephone_number": "714-475-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11637 The Plz",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "906503930",
            "country_code": "US",
            "telephone_number": "562-317-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNG",
        "middle_name": "JIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42303",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "KIM",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sooin Kim
• Soyoung Kim
• Stanley Shinyeong Kim, D.D.S.
• Steve Seungtae Kim, DOCTOR OF CHIROPRACT
• Steven Woong Kim, MD
• Sung Joo C Kim, DDS
• Sung Kyung Kim, PPS
• Sung Soo Kim, O.D.
• Sungil Kim, PHARM D
• Yoo Kyong Kim, L.AC.

• Physical Therapist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.