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

Active since December 12, 2017Opted out of Medicare · through Apr 1, 2028
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: August 16, 2026.

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

About Ms. Diane H. Kim Np NPPES

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

MS. DIANE H. KIM NP (NPI 1174038152) is an individual nurse practitioner in San Francisco, California, licensed in California (95009723) and active in the NPI registry since December 2017. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1174038152
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. DIANE H. KIMCredential: NP
Location Address401 PARNASSUS AVE # 984San Francisco, CA 94143
Mailing Address6333 Telegraph AveOakland, CA 94609-1359
Phone(415) 476-7000
Sole ProprietorNo
Enumeration DateDecember 12, 2017
Last NPPES UpdateMay 29, 20196 updates tracked since enumeration
✔ NPI 1174038152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95009723
Definition
(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.
401 PARNASSUS AVE # 984, San Francisco, CA 94143
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Diane H. Kim Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

JESSICA HOLLIDAY M.D.
Psychiatry & Neurology (Psychiatry)
401 PARNASSUS AVE # 984
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7527
DR. SHUYU WANG MD, PHD
Student in an Organized Health Care Education/Training Program
401 PARNASSUS AVE # 984
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7527
WILLIAM BERNARD SMITH
Psychiatry & Neurology (Psychiatry)
401 PARNASSUS AVE # 984
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7527
DR. ALLISON HORAN MD, MSC
Psychiatry & Neurology (Psychiatry)
401 PARNASSUS AVE # 984
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7527
MR. ALEXANDER CLONAN TROPE MD
Psychiatry & Neurology (Psychiatry)
401 PARNASSUS AVE # 984
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7527
DR. TREVOR JANSEN MOONEY MD
Psychiatry & Neurology (Psychiatry)
401 PARNASSUS AVE # 984
SAN FRANCISCO, CA 94143
San Francisco County (415) 502-1000
PEDRO ANTONIO DURAN JR.
Psychiatry & Neurology (Psychiatry)
401 PARNASSUS AVE # 984
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7527

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 Diane Kim's NPI number?

The NPI number for Diane Kim is 1174038152. It was assigned to this individual provider in the NPPES registry on December 12, 2017.

Where is Diane Kim located?

Diane Kim practices at 401 Parnassus Ave # 984, San Francisco, CA 94143. The listed phone number is (415) 476-7000.

What is Diane Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Diane Kim enrolled in Medicare?

No. Diane Kim has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Diane Kim was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.