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

Robert Kim, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386105203

Robert Kim, MD is an Emergency Medicine in Lodi, California. Graduated from State University of New York Downstate Medical Center in 2019, 7 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
State University of New York Downstate Medical Center
Licensed in
CA
In the registry since
2019
Specialties on file
2
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

975 S Fairmont Ave
Lodi, CA 95240-5179
Phone: (209) 334-3411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1411 E 31st St, Oakland, CA 94602-1092 — (914) 826-5237

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A176974 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386105203
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 26, 2019
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022
Mailing address1411 E 31st St, Oakland, CA 94602-1092

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2019 (7 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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