Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alice Jen Kim, DPM

Individual provider Podiatrist · NPI 1730616145

Dr. Alice Jen Kim, DPM is a Podiatry in Camarillo, California. Qualified in 2017, 9 years ago. Practices with Foot and Ankle Alliance Inc, a 2-clinician group. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

450 Rosewood Ave Ste 104
Camarillo, CA 93010-5914
Phone: (805) 200-6994
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence E5637 (CA)

Record details

NPI number1730616145
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 16, 2017
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Foot And Ankle Alliance Inc — 2 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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