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

Dr. Susie Kim, MD

Individual provider Family Medicine Physician · NPI 1760671549

Dr. Susie Kim, MD is a Family Practice in Tustin, California. Qualified in 2005, 21 years ago. Practices with Regents of the University of California, a 61-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2007
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

1451 Irvine Blvd
Tustin, CA 92780-3804
Phone: (714) 838-8878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A99885 (CA)

Record details

NPI number1760671549
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2007
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023
Mailing address200 S Manchester Ave Ste 300, Orange, CA 92868-3219

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Regents Of The University Of California — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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