Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MADISON KIM
NPI 1447172762
Registered Nurse in Santa Rosa, CA

Q: What is Madison Kim's NPI number?

The NPI number for Madison Kim is 1447172762. It was assigned to this individual provider in the NPPES registry on July 28, 2026.

Q: What is Madison Kim's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Madison Kim was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.

Active since July 28, 2026

1140 SONOMA AVE, BUILDING 3, SANTA ROSA, CA 95405(707) 527-7656(707) 527-5015 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Madison Kim NPPES

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

MADISON KIM (NPI 1447172762) is an individual registered nurse in Santa Rosa, California, licensed in California (95440310) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1447172762

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameMADISON KIM

Location Address1140 SONOMA AVE, BUILDING 3Santa Rosa, CA 95405-4817

Mailing Address1140 Sonoma Ave Ste 3, Building 3Santa Rosa, CA 95405-4817 · (707) 527-7656 · Fax (707) 527-5015

Phone(707) 527-7656

Fax(707) 527-5015

Sole ProprietorNo

Enumeration DateJuly 28, 2026

NPPES CertifiedJuly 28, 2026

✔ NPI 1447172762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in CA · 95440310

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

1140 SONOMA AVE, Santa Rosa, CA 95405

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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.

JAMES GROSSMAN P.A.

Physician Assistant

1140 SONOMA AVE, BLDG. 3
SANTA ROSA, CA 95405

Sonoma County (707) 527-7656

MICHAEL J LAZAR JR. MD

Urology

1140 SONOMA AVE, STE 1A
SANTA ROSA, CA 95405

Sonoma County (707) 546-5553

KAREN MARIE CLARK N.P.

Nurse Practitioner

1140 SONOMA AVE, 2A
SANTA ROSA, CA 95405

Sonoma County (707) 526-5034

NORTHERN CALIFORNIA MEDICAL ASSOC INC

Urology

1140 SONOMA AVE, STE 1A
SANTA ROSA, CA 95405

Sonoma County (707) 546-5553

SUTTER MEDICAL GROUP OF THE REDWOODS

Pediatrics

1140 SONOMA AVE, BUILDING 3
SANTA ROSA, CA 95405

Sonoma County (707) 545-5200

PLANNED PARENTHOOD SHASTA DIABLO, INC.

Clinic/Center (Community Health)

1140 SONOMA AVE
SANTA ROSA, CA 95405

Sonoma County (707) 527-7656

SUTTER MEDICAL GROUP OF THE REDWOODS

Obstetrics & Gynecology

1140 SONOMA AVE, SUITE 2A
SANTA ROSA, CA 95405

Sonoma County (707) 526-5034

MICHAEL J. LAZAR, JR., M.D., PROFESSIONAL MEDICAL CORPORATION

Urology

1140 SONOMA AVE, SUITE 1A
SANTA ROSA, CA 95405

Sonoma County (707) 546-5553

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 Madison Kim's NPI number?

The NPI number for Madison Kim is 1447172762. It was assigned to this individual provider in the NPPES registry on July 28, 2026.

Where is Madison Kim located?

Madison Kim practices at 1140 Sonoma Ave Building 3, Santa Rosa, CA 95405. The listed phone number is (707) 527-7656.

What is Madison Kim's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Madison Kim was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.