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

Ryan Sunho Kim, NP-C

Individual provider Family Nurse Practitioner · NPI 1780351072

Ryan Sunho Kim, NP-C is a Nurse Practitioner in Davis, California. Qualified in 2021, 5 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

4647 2nd St Ste 130
Davis, CA 95618-9428
Phone: (800) 972-5547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95018179 (CA)

Record details

NPI number1780351072
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 25, 2021
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing addressPo Box 255228, Sacramento, CA 95865-5228

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations16 on file with Medicare

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