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

Individual provider Orthopaedic Surgery Physician · NPI 1720152507

Dr. Chang O. Kim, MD is an Orthopedic Surgery in Oakland, California. Graduated from University of California, Geffen School of Medicine in 2001, 25 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

80 Grand Ave 5th Fl
Oakland, CA 94612-3725
Phone: (510) 451-6266
Fax: (510) 451-6260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A82792 (CA)

Record details

NPI number1720152507
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 20, 2006
Last updated in NPPESDecember 2, 2021
Certification dateDecember 2, 2021

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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