KENNETH KAI-YUK YIM MD
NPI 1417043084
Surgery - Plastic and Reconstructive Surgery in San Jose, CA
About Kenneth Kai-yuk Yim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH KAI-YUK YIM MD (NPI 1417043084) is an individual plastic and reconstructive surgery provider in San Jose, California, licensed in California (G64525) and active in the NPI registry since October 2006.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
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.
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
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 Kenneth Yim's NPI number?
The NPI number for Kenneth Yim is 1417043084. It was assigned to this individual provider in the NPPES registry on October 4, 2006.
Where is Kenneth Yim located?
Kenneth Yim practices at 751 S Bascom Ave Plastic Surgery Dept, San Jose, CA 95128. The listed phone number is (408) 885-5315.
What is Kenneth Yim's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
When was this NPI record last updated?
The NPPES record for Kenneth Yim was last updated on September 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Kenneth Kai-Yuk Yim, MD · NPI 1417043084
Plastic and Reconstructive Surgery physician in San Jose, California. Individual provider, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1417043084 (Entity type: Individual)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** G64525 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 751 S BASCOM AVE, PLASTIC SURGERY DEPT, San Jose, CA 95128-2604
- **Phone:** (408) 885-5315
## Record status
- **NPPES last updated:** September 12, 2007
- **Other identifiers:** Medicaid 00G645250 (CA); Medicare PIN 00G645250 (CA); Medicare UPIN E89778 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1417043084) · Data from the CMS NPPES public registry.