Active NPI
Brian Kap-Soo Kim, M.D.
- Hematology & Oncology Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G88900
- Practice address
- 2800 L Street
Suite 300
Sacramento, CA 95816-7098 - Phone
- (916) 453-3300
- Fax
- (916) 453-3313
- NPI assigned
- Jun 5, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00044497 | WA | |
| Hematology (Internal Medicine) Physician | 207RH0000X | MD00044497 | WA | |
| Medical Oncology Physician | 207RX0202X | MD00044497 | WA | |
| Internal Medicine Physician | 207R00000X | G88900 | CA | |
| Hematology & Oncology Physician | 207RH0003X | G88900 | CA | Primary |
Addresses
Primary practice location
2800 L Street
Suite 300
Sacramento, CA 95816-7098
Mailing address
10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (800) 470-0071
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8416448 | Medicaid | WA | |
| 5339KI | Other | REGENCE BLUE SHIELD | |
| 5596153 | Other | AETNA | |
| P00185603 | Other | RAILROAD MEDICARE | |
| 193335 | Other | WA | LABOR & INDUSTRIES |
| 3733057 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba The Doctors Clinic Salmon Medical Center
- Multi-Specialty Clinic/Center
- Silverdale, WA
- NPI 1700833357
I20110718000370, I20250417001617
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of Oklahoma College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3175 Saint Rose Pkwy
Henderson, NV 89052-3506
Phone (702) 724-8787
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G88900 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Current | Accepting new patients | |
| Dignity Health | Current | Accepting new patients | |
| The Doctors Clinic a Professional Corporation | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Dignity Health | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients |
Locations
310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390
2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247
2750 Gateway Oaks Dr
Ste 310
Sacramento, CA 95833
58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000
3175 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 724-8787
2512 Wheaton Way
Bremerton, WA 98310
Phone (360) 782-3650
2512 Wheaton Way
#O
Bremerton, WA 98310
Phone (360) 782-3700
2200 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 830-1100
9621 Ridgetop Blvd NW
Silverdale, WA 98383
Phone (360) 782-3300
Interoperability endpoints
- bkim87993@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
dba Urology Specialists of Nevada
- Specialist
- Las Vegas, NV
- NPI 1063458594
-
dba Dignity Health Mercy Oncology Center
- Oncology Clinic/Center
- Redding, CA
- NPI 1336588870
-
dba Mercy Medical Center Redding
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
dba Mercy Medical Center Mt. Shasta Physicians
- Rural Health Clinic/Center
- Mount Shasta, CA
- NPI 1508341397
-
dba Radiation Oncology Center of Nevada
- Radiation Oncology Physician
- Las Vegas, NV
- NPI 1225609464
-
dba The Doctors Clinic Salmon Medical Center
- Multi-Specialty Clinic/Center
- Silverdale, WA
- NPI 1700833357
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Medical Center Redding
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
dba Sutter Auburn Faith Hospital
- General Acute Care Hospital
- Auburn, CA
- NPI 1194774299
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1871532051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD",
"address_2": "SUITE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272539",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 L STREET",
"address_2": "SUITE 300",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958167098",
"telephone_number": "916-453-3300",
"fax_number": "916-453-3313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "BRIAN",
"middle_name": "KAP-SOO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00044497",
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "WA",
"license": "MD00044497",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "WA",
"license": "MD00044497",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G88900",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "G88900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8416448",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "5339KI",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5596153",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00185603",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "193335",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3733057",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.