Active NPI
John Kim, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Santa Monica, CA
National Provider Identifier
1922628569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 58025
- Practice address
- 1450 10TH St FL 2
Santa Monica, CA 90401-2857 - Phone
- (310) 319-8202
- NPI assigned
- Apr 23, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 58025 | CA | Primary |
Addresses
Primary practice location
1450 10TH St FL 2
Santa Monica, CA 90401-2857
Mailing address
1450 10TH St FL 2
Santa Monica, CA 90401-2857
Phone (310) 319-8202
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | john.e.kim@kp.org | Direct | Kaiser Foundation Health Plan Inc |
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)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58025 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1922628569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 10TH ST FL 2",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012857",
"telephone_number": "310-319-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 10TH ST FL 2",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012857",
"telephone_number": "310-319-8202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOHN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-23",
"last_updated": "2023-11-27",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "58025",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "john.e.kim@kp.org",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "Kaiser Foundation Health Plan Inc",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1450 10th St Fl 2",
"city": "Santa Monica",
"state": "CA",
"country_code": "US",
"postal_code": "904012857",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.