Active NPI
Brian A Kim, M.D.
- Pain Medicine (Anesthesiology) Physician
- Citrus Heights, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- A134093
- Practice address
- 7115 Greenback LN FL 1
Citrus Heights, CA 95621-6133 - Phone
- (916) 536-2442
- Fax
- (916) 536-2598
- NPI assigned
- May 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A134093 | CA | Primary |
Addresses
Primary practice location
7115 Greenback LN FL 1
Citrus Heights, CA 95621-6133
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Other practice location 1
3000 Q St Fl 3
Sacramento, CA 95816-7058
Phone (916) 733-5844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A134093 | Other | CA | MEDICAL STATE LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- George Washington University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6555 Coyle Ave
Suite 215
Carmichael, CA 95608-0303
Phone (916) 536-2449
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.57 of 100
- Quality
- 93.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 61.74
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A134093 | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Multi-Specialty | Current | Accepting new patients |
| Dignity Health Medical Foundation | Multi-Specialty | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients |
Locations
6555 Coyle Ave
Ste 215
Carmichael, CA 95608
Phone (916) 536-2449
7115 Greenback Ln
Fl 1
Citrus Heights, CA 95621
Phone (916) 536-2442
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701
3000 Q St
Fl 3
Sacramento, CA 95816
Phone (916) 733-3400
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1487694857
-
- Multi-Specialty Clinic/Center
- Rancho Cordova, CA
- NPI 1568489268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1902241573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7115 GREENBACK LN FL 1",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956216133",
"telephone_number": "916-536-2442",
"fax_number": "916-536-2598"
}
],
"practiceLocations": [
{
"address_1": "3000 Q St Fl 3",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958167058",
"country_code": "US",
"telephone_number": "916-733-5844",
"fax_number": "916-733-3320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "BRIAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-08",
"last_updated": "2023-03-07",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A134093",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL STATE LICENSE",
"identifier": "A134093",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Citrus Heights, 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.