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

Kathleen Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508213562

Kathleen Kim is a Family Practice in Davis, California. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2016, 10 years ago. Practices with Northbay Health Medical Foundation, a 202-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

2019 Anderson Rd Ste B
Davis, CA 95616-0773
Phone: (530) 758-5492
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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 19986 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508213562
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2016
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing address2019 Anderson Rd Ste B, Davis, CA 95616-0773

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2016 (10 years in practice)
Group practice Northbay Health Medical Foundation — 202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Davis