Individual provider Active NPI

Brian Kap-Soo Kim, M.D.

  • Hematology & Oncology Physician
  • Sacramento, CA
National Provider Identifier
1871532051
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G88900 Issued in CA
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8416448MedicaidWA
5339KIOtherREGENCE BLUE SHIELD
5596153OtherAETNA
P00185603OtherRAILROAD MEDICARE
193335OtherWALABOR & INDUSTRIES
3733057OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110718000370 CA Practitioner - Hematology/Oncology 7517918980 Reassigns benefits to 1 organization
1 other NPI on this enrollment
I20250417001617 NV Practitioner - Hematology/Oncology 7517918980 Reassigns benefits to 1 organization
1 other NPI on this enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
Optum Medical Group Rhodes P CGroup PAC ID 1052390036, 53 clinicians

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

LicenseStateTypeSpecialty
G88900CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Current Accepting new patients
Dignity Health CurrentSince Oct 7, 2024 Accepting new patients
The Doctors Clinic a Professional Corporation CurrentSince Feb 2, 2005 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Apr 1, 2025 Accepting new patients
Dignity Health CurrentSince Oct 7, 2024 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Apr 1, 2025 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.