Active NPI
David Kim, M.D.
- Hospitalist Physician
- Saint Helena, CA
National Provider Identifier
1922020221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD11963
- Practice address
- 10 Woodland Rd
Saint Helena, CA 94574-9554 - Phone
- (707) 963-6399
- NPI assigned
- Jul 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD11963 | HI | Primary |
Addresses
Primary practice location
10 Woodland Rd
Saint Helena, CA 94574-9554
Mailing address
260 Washburn St
Angwin, CA 94508-9795
Phone (707) 965-3689
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156443 | Other | HI | UHA |
| 50676901 | Medicaid | HI | |
| 990176599679B093 | Other | HI | TRICARE - CHAMPUS |
| 234146 | Other | HI | HMSA - 65CP - HMSA QUEST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD11963 | HI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loma Linda University Physicians Medical Group Inc | Past | Accepting new patients | |
| Quantum Healthcare Medical Associates Inc. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Loma Linda, CA
- NPI 1841230109
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922020221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 WASHBURN ST",
"city": "ANGWIN",
"state": "CA",
"postal_code": "945089795",
"telephone_number": "707-965-3689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WOODLAND RD",
"city": "SAINT HELENA",
"state": "CA",
"postal_code": "945749554",
"telephone_number": "707-963-6399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "HI",
"license": "MD11963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA",
"identifier": "156443",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50676901",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE - CHAMPUS",
"identifier": "990176599679B093",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA - 65CP - HMSA QUEST",
"identifier": "234146",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Helena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.