MS. DIANE H. KIM NP
NPI 1174038152
Nurse Practitioner in San Francisco, CA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363L00000X.

Active since December 12, 2017

401 PARNASSUS AVE # 984, SAN FRANCISCO, CA 94143(415) 476-7000 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 29, 2019, Nov 28, 2018, Aug 23, 2018 and 3 more (6 updates tracked since 2017).

Table of Contents

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Nurse Practitioner
Opted-Out Medicare

About DIANE KIM

This page provides the complete NPI Profile along with additional information for Diane Kim, a provider established in San Francisco, California with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1174038152 assigned on December 2017. The practitioner's primary taxonomy code is 363L00000X with license number 95009723 (CA). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI: 1174038152 Verify this NPI
Provider Name: MS. DIANE H. KIM NP
Gender: Female
Entity Type: Individual
Location Address: 401 PARNASSUS AVE # 984 SAN FRANCISCO, CA 94143
Location Phone: (415) 476-7000
Mailing Address: 6333 TELEGRAPH AVE OAKLAND, CA 94609
Is Sole Proprietor?: No
Enumeration Date: 12-12-2017
Last Update Date: 05-29-2019
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A nurse practitioner (NP) like Diane Kim is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Diane Kim opted out of Medicare effective on 04-01-2024 until 04-01-2028. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner
Taxonomy Code: 363L00000X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 95009723
License State: CA
Taxonomy Description: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-01-2024
Opt-Out End Date: 04-01-2028
Eligible to Order and Refer? No