Individual provider Active NPI

Candice Jinhee Kim, MD

  • Cardiovascular Disease Physician
  • Murrieta, CA
National Provider Identifier
1942568852
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A129381 Issued in CA
Practice address
25395 Hancock Ave Ste 230
Murrieta, CA 92562-9054
Phone
(951) 677-6670
Fax
(951) 677-6676
NPI assigned
Apr 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X A129281 CA
Cardiovascular Disease Physician 207RC0000X A129381 CA Primary

Addresses

Primary practice location

25395 Hancock Ave Ste 230
Murrieta, CA 92562-9054

Mailing address

25395 Hancock Ave Ste 230
Murrieta, CA 92562-9054
Phone (951) 677-6670

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180207001267 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8224341029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25395 Hancock Ave
Suite 230
Murrieta, CA 92562-9054
Phone (951) 677-6670

Hospital & facility affiliations

  • Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775
  • Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701
  • Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770

Merit-based Incentive Payment System (MIPS)

Final score
22.05 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A129381CAMDCardiovascular Disease Physician
A129281CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Candice Kim Inc Cardiovascular Disease CurrentSince Apr 3, 2020 Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients

Locations

25395 Hancock Ave
Ste 230
Murrieta, CA 92562
Phone (951) 600-2839

29995 Technology Dr
Ste 302
Murrieta, CA 92563
Phone (951) 445-4347

Interoperability endpoints

  • Direct secure messaging: ckim@ckcore.ssdirect.aprima.com
  • Direct secure messaging: ckim181985@direct.llu.edu

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.

Hospital & facility affiliations 3

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1942568852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25395 HANCOCK AVE STE 230",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629054",
            "telephone_number": "951-677-6670",
            "fax_number": "951-677-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25395 HANCOCK AVE STE 230",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629054",
            "telephone_number": "951-677-6670",
            "fax_number": "951-677-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CANDICE",
        "middle_name": "JINHEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": "A129281",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A129381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.