Active NPI
Kim Hanh Dinh
- Physician Assistant
- Mountain View, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 58835
- Practice address
- 701 E El Camino Real
Mountain View, CA 94040-2833 - Phone
- (650) 934-7111
- NPI assigned
- May 12, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 58835 | CA | Primary |
Addresses
Primary practice location
701 E El Camino Real
Mountain View, CA 94040-2833
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000
5893 Copley Dr
San Diego, CA 92111-7906
Phone (858) 616-5499
9455 Clairemont Mesa Blvd
San Diego, CA 92123-1297
Phone (858) 573-1504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58835 | CA | MD | Mental Health Counselor |
| 56041 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| San Bernardino Medical Orthopaedic Group, Inc. | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| San Bernardino Medical Orthopaedic Group, Inc. | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Carthage Area Hospital Inc | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients | |
| Eisenhower Medical Center | Past | Accepting new patients |
Locations
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
715 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 934-7010
4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784
701 E El Camino Real
#1
Mountain View, CA 94040
Phone (650) 404-8440
701 E El Camino Real
Mountain View, CA 94040
Phone (650) 404-8370
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
1801 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 557-1607
1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
2581 Samaritan Dr
Ste 308
San Jose, CA 95124
Phone (408) 355-1700
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
Organizations & group practices 12
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.
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1336187475
-
- Ambulatory Surgical Clinic/Center
- Los Altos, CA
- NPI 1568851327
-
- Ambulatory Surgical Clinic/Center
- Mountain View, CA
- NPI 1982845186
-
- Ambulatory Surgical Clinic/Center
- Palo Alto, CA
- NPI 1104067115
-
- Orthopaedic Surgery Physician
- Beaumont, CA
- NPI 1235964537
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Panorama City, CA
- NPI 1407888928
-
- Ambulatory Surgical Clinic/Center
- San Jose, CA
- NPI 1043654486
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1982226973",
"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": "701 E EL CAMINO REAL",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940402833",
"telephone_number": "650-934-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINH",
"first_name": "KIM",
"middle_name": "HANH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-12",
"last_updated": "2023-01-13",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "58835",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4733 W Sunset Blvd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900276021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.