JONATHAN D KIM DPM PC
NPI 1376384727
Podiatrist - Foot & Ankle Surgery in San Gabriel, CA

Active since May 31, 2024
190 S WALNUT GROVE AVE APT B, SAN GABRIEL, CA 91776(442) 599-4470 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan D Kim Dpm Pc NPPES

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

JONATHAN D KIM DPM PC (NPI 1376384727) is a healthcare organization registered as a foot & ankle surgery in San Gabriel, California and active in the NPI registry since May 2024. The organization lists Jonathan Kim, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1376384727
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameJONATHAN D KIM DPM PC
Location Address190 S WALNUT GROVE AVE APT BSan Gabriel, CA 91776-1757
Mailing Address190 S Walnut Grove Ave Apt BSan Gabriel, CA 91776-1757 · (442) 599-4470
Organization SubpartNo
Authorized OfficialJonathan KimChief Executive Officer · (442) 599-4470
Enumeration DateMay 31, 2024
NPPES CertifiedMay 31, 2024
NPI 1376384727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X
190 S WALNUT GROVE AVE APT B, San Gabriel, CA 91776

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jonathan D Kim Dpm PC's NPI number?

The NPI number for Jonathan D Kim Dpm PC is 1376384727. It was assigned to this organization in the NPPES registry on May 31, 2024.

Where is Jonathan D Kim Dpm PC located?

Jonathan D Kim Dpm PC is located at 190 S Walnut Grove Ave Apt B, San Gabriel, CA 91776. The listed phone number is (442) 599-4470.

What is Jonathan D Kim Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Jonathan D Kim Dpm PC was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.