Active NPI
Allison Youjung Kim, PA
- Physician Assistant
- San Francisco, CA
National Provider Identifier
1962278697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 63876
- Practice address
- 2100 Webster St Ste 305
San Francisco, CA 94115-2376 - Phone
- (415) 463-3059
- NPI assigned
- Dec 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 63876 | CA | Primary |
Addresses
Primary practice location
2100 Webster St Ste 305
San Francisco, CA 94115-2376
Mailing address
440 Kansas St
San Francisco, CA 94107-2313
Phone (408) 568-5679
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Duke University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4300 El Camino Real
Suite 100
Los Altos, CA 94022-1090
Phone (650) 325-6000
5575 W Las Positas Blvd
Suite 220
Pleasanton, CA 94588-5802
Phone (925) 416-1122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
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- Dermatology Physician
- Los Altos, CA
- NPI 1528175528
-
- General Practice Physician
- Santa Clarita, CA
- NPI 1073399804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709337600000",
"number": "1962278697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 KANSAS ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941072313",
"telephone_number": "408-568-5679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 WEBSTER ST STE 305",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152376",
"telephone_number": "415-463-3059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ALLISON",
"middle_name": "YOUJUNG",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-04",
"last_updated": "2024-03-02",
"certification_date": "2024-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "63876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.