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SHIRLEY KIM
NPI 1013619360
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since March 20, 2023PECOS Enrolled
7601 HOSPITAL DR STE 103, SACRAMENTO, CA 95823(916) 681-1600 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shirley Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRLEY KIM (NPI 1013619360) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013619360
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHIRLEY KIM
Location Address7601 HOSPITAL DR STE 103Sacramento, CA 95823-5408
Mailing Address7601 Hospital Dr Ste 103Sacramento, CA 95823-5408 · (916) 681-1600
Phone(916) 681-1600
Sole ProprietorYes
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 20, 2023
✔ NPI 1013619360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7601 HOSPITAL DR STE 103, Sacramento, CA 95823
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shirley Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA DUONG MD
Family Medicine
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Sacramento County (916) 681-1600
LAETICIA CAMPBELL MD
Student in an Organized Health Care Education/Training Program
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Sacramento County (916) 681-1600
MS. DESIREE ROXANN ACOSTA MD
Student in an Organized Health Care Education/Training Program
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Sacramento County (916) 681-3456
PRANITHA PRASAD
Student in an Organized Health Care Education/Training Program
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Sacramento County (916) 681-1600
DEVERY E MITCHELL MD
Family Medicine
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Sacramento County (916) 681-1600
KARINA SALAZAR GOOKIN M.D.
Family Medicine
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Sacramento County (916) 681-1600
DR. ZAHEER ISLAM SALAM DO
Student in an Organized Health Care Education/Training Program
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Sacramento County (916) 681-1600
RACHEL ISAACS
Student in an Organized Health Care Education/Training Program
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Sacramento County (916) 681-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirley Kim's NPI number?

The NPI number for Shirley Kim is 1013619360. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Shirley Kim located?

Shirley Kim practices at 7601 Hospital Dr Ste 103, Sacramento, CA 95823. The listed phone number is (916) 681-1600.

What is Shirley Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shirley Kim enrolled in Medicare?

Yes. Shirley Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shirley Kim was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.