Active NPI
Kim Khuc, M.D.
- Obstetrics & Gynecology Physician
- Santa Cruz, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A155751
- Practice address
- 2907 Chanticleer Ave
Santa Cruz, CA 95065-1815 - Phone
- (831) 477-2375
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A155751 | CA | Primary |
Addresses
Primary practice location
2907 Chanticleer Ave
Santa Cruz, CA 95065-1815
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of California, San Diego School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2907 Chanticleer Ave
Santa Cruz, CA 95065-1815
Phone (831) 477-2375
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A155751 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Obstetrics & Gynecology | Current | Accepting new patients |
| St. Joseph'S Hospital, Inc. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Obstetrics & Gynecology | Past | Accepting new patients |
| University Community Hospital, Inc | Past | Accepting new patients |
Locations
7600 Old Dominion Ct
#1
Aptos, CA 95003
Phone (831) 458-6200
160 Green Valley Rd
Freedom, CA 95019
Phone (831) 763-9700
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
795 El Camino Real
#1112
Palo Alto, CA 94301
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
2907 Chanticleer Ave
Santa Cruz, CA 95065
Phone (831) 477-2325
2128 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 425-0727
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- kkhuc453916@hisp.ehr.sutterhealth.org
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
Obstetrics & Gynecology
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- General Acute Care Hospital
- Santa Cruz, CA
- NPI 1427181007
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1962817668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2907 CHANTICLEER AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651815",
"telephone_number": "831-477-2375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHUC",
"first_name": "KIM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A155751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.