BOB KIM FNP-C
NPI 1922607894
Nurse Practitioner - Family in Santa Monica, CA

Active since October 21, 2020
2222 SANTA MONICA BLVD STE 301, SANTA MONICA, CA 90404(310) 449-0093 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Bob Kim Fnp-c NPPES

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

BOB KIM FNP-C (NPI 1922607894) is an individual family provider in Santa Monica, California, licensed in California (F10200931) and active in the NPI registry since October 2020. He maintains a secondary practice location in Winnetka.

NPPES Registry Identity

NPI1922607894
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBOB KIMCredential: FNP-C
Location Address2222 SANTA MONICA BLVD STE 301Santa Monica, CA 90404-2307
Mailing Address336 S Occidental Blvd Apt 206Los Angeles, CA 90057-1544 · (213) 270-5684
Sole ProprietorYes
Enumeration DateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
NPI 1922607894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · F10200931
2222 SANTA MONICA BLVD STE 301, Santa Monica, CA 90404

Secondary Practice Location 1

Location 16742 Winnetka AveWinnetka, CA 91306-4348 · Phone (310) 449-0093

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
2222 SANTA MONICA BLVD STE 301
SANTA MONICA, CA 90404
Nurse Practitioner
2222 SANTA MONICA BLVD STE 301
SANTA MONICA, CA 90404

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 Bob Kim's NPI number?

The NPI number for Bob Kim is 1922607894. It was assigned to this individual provider in the NPPES registry on October 21, 2020.

Where is Bob Kim located?

Bob Kim practices at 2222 Santa Monica Blvd Ste 301, Santa Monica, CA 90404. The listed phone number is (310) 449-0093.

What is Bob Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bob Kim was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.