Bob Kim, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10200931 Issued in CA

Practice address

2222 Santa Monica Blvd Ste 301
Santa Monica, CA 90404-2307

Phone

(310) 449-0093

NPI assigned

Oct 21, 2020

Last updated

Oct 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amin Khorsandi MD Inc

  • Internal Medicine Physician
  • Santa Monica, CA
  • NPI 1841511631
  NPD

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1922607894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 S OCCIDENTAL BLVD APT 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571544",
            "telephone_number": "213-270-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SANTA MONICA BLVD STE 301",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042307",
            "telephone_number": "310-449-0093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6742 Winnetka Ave",
            "address_purpose": "LOCATION",
            "city": "Winnetka",
            "state": "CA",
            "postal_code": "913064348",
            "country_code": "US",
            "telephone_number": "310-449-0093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "BOB",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F10200931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rose Kilburn
• Lynn Kilroy, PH.D.
• Kim M Finklestein Physical Therapy Inc (Postureworks Physical Therapy)
• Kevin Kim-Hak
• Alexander Kim, PTA
• Brittany Lynn Kim, DPT
• Chan Kim
• Cristina Kim
• Deborah Sunghee Kim, L.AC.
• Diane Rhee Kim, MD

• Family Nurse Practitioner in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.