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CLIFFORD INTAIK KIM M.D.
NPI 1295822468
Internal Medicine in Fremont, CA

Active since October 06, 2006PECOS Enrolled
39199 LIBERTY ST, BUILDING B, FREMONT, CA 94538(510) 791-4000(510) 791-4036 Get Directions Write a Review

NPPES record last updated: February 10, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clifford Intaik Kim M.d. NPPES

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

CLIFFORD INTAIK KIM M.D. (NPI 1295822468) is an individual internal medicine provider in Fremont, California, licensed in California (G70160) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295822468
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCLIFFORD INTAIK KIMCredential: M.D.
Location Address39199 LIBERTY ST, BUILDING BFremont, CA 94538-1501
Mailing Address39199 Liberty St, Building BFremont, CA 94538-1501 · (510) 791-4000 · Fax (510) 791-4036
Phone(510) 791-4000
Fax(510) 791-4036
Sole ProprietorNo
Enumeration DateOctober 6, 2006
Last NPPES UpdateFebruary 10, 2010
✔ NPI 1295822468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G70160
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
39199 LIBERTY ST, Fremont, CA 94538
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Other Identifiers 1

Medicare UPING13013CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clifford Intaik Kim M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

PALO ALTO VAMC
Clinic/Center (VA)
39199 LIBERTY ST
FREMONT, CA 94538
Alameda County (702) 341-3020
NHU-LY TIEN TRAN LCSW
Social Worker (Clinical)
39199 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 791-4013
MRS. POMPA CHATTERJEE MALAKAR R.N. C.N.S. PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
39199 LIBERTY ST
FREMONT, CA 94538
Alameda County (650) 493-5000
MR. KA LI
Social Worker (Clinical)
39199 LIBERTY ST
FREMONT, CA 94538
Alameda County (650) 250-2724
WILLIAM VICTOR MARES
Social Worker (Clinical)
39199 LIBERTY ST
FREMONT, CA 94538
Alameda County (209) 303-7341
SEANNA KIM MD
Internal Medicine
39199 LIBERTY ST, BUILDING B
FREMONT, CA 94538
Alameda County (510) 791-4001
CHRISTINA CHIA-WEI GEE LCSW
Social Worker (Clinical)
39199 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 491-4001
MISS MADELINE MANTE RN
Registered Nurse
39199 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 791-4000

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 Clifford Kim's NPI number?

The NPI number for Clifford Kim is 1295822468. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Clifford Kim located?

Clifford Kim practices at 39199 Liberty St Building B, Fremont, CA 94538. The listed phone number is (510) 791-4000.

What is Clifford Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Clifford Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Clifford Kim was last updated on February 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.