NPIMap

Organization Active NPI

Elisa Kim

  • Clinic/Center
  • Oakland, CA
National Provider Identifier
1952886194
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ELISA KIM
Practice address
2929 Summit St Ste 102
Oakland, CA 94609-3423
Phone
(510) 809-7084
NPI assigned
Oct 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

Name
Elisa Kim, L.AC.NPI 1629488093
Title
L.Ac.
Phone
(510) 809-7084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2929 Summit St Ste 102
Oakland, CA 94609-3423

Mailing address

650 Canyon Oaks Dr Apt E
Oakland, CA 94605-5920

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1952886194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CANYON OAKS DR APT E",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 SUMMIT ST STE 102",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093423",
            "telephone_number": "510-809-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISA KIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "L.AC.",
        "authorized_official_telephone_number": "510-809-7084",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.