Active NPI 1144225301 Individual Practitioner Male Practitioner

Dr. Thomas C. Kim , MD

Specialist • Orange, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Kim, MD is a certified Specialist practicing in Orange, CA. With approximately 31 years of clinical experience since graduating from R Franklin University Of Med & Sci/Chicago Medical School in 1995, Dr. Kim delivers high-quality medical care to the local community at 1140 W LA VETA AVE STE 430.

Dr. Kim is affiliated with Providence Medical Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, regadenoson, 0.1 mg, technetium tc-99m sestamibi, diagnostic, per study dose, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1140 W La Veta Ave Ste 430

Orange, CA 928684226

Telephone 7145435555

Fax 7149737731

Medicare Profile & Education

Medical School

R Franklin University Of Med & Sci/chicago Medical School

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Orange, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs -6.1 yrs vs City Avg

City Avg: 37.1 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

58 Specialists

Practicing in Orange, CA (6446 Statewide)

Telehealth Adoption Rate

6.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

61.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (31 Years) 31 Yrs

Orange Specialty Average (37.1 Years) 37.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2785 Injection, regadenoson, 0.1 mg	772	193	$44.95	$7.04
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	399	199	$410.00	$358.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	340	227	$381.00	$138.48
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	297	285	$195.00	$70.75
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	204	203	$1369.00	$496.09
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	183	182	$232.63	$69.47
99213 Established patient office or other outpatient visit, typically 15 minutes	179	147	$271.00	$98.13
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	172	161	$605.17	$217.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	115	39	$224.00	$81.30
93280 Programming of dual lead pacemaker system	89	54	$241.00	$87.49
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	64	58	$9.00	$3.14
93000 Routine ekg using at least 12 leads including interpretation and report	54	49	$51.00	$15.60
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	43	43	$720.00	$256.77
93320 Ultrasound of heart blood flow, valves and chambers	41	39	$50.00	$18.00
93312 Ultrasound of heart with probe in esophagus, with report	38	32	$299.00	$108.44
93355 Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report	37	36	$629.00	$228.19
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	28	27	$72.00	$26.20
93308 Ultrasound of heart, follow-up	24	23	$70.00	$25.51
93284 Programming of multiple lead implantable defibrillator system	22	15	$318.00	$113.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$493.00	$173.00
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	18	18	$79.39	$24.47
93321 Follow-up or limited heart doppler ultrasound study of heart blood flow, valves, and chambers	18	18	$20.00	$7.27
93320 Ultrasound of heart blood flow, valves and chambers	18	18	$151.06	$52.45
93279 Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report	18	14	$206.00	$74.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$493.00	$178.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$371.00	$134.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2785 Injection, regadenoson, 0.1 mg	668	165	$512.00	$52.09
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	356	176	$354.00	$206.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	310	228	$345.00	$138.83
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	261	254	$395.00	$72.03
99213 Established patient office or other outpatient visit, typically 15 minutes	203	175	$245.00	$98.55
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	183	181	$197.00	$69.09
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	173	171	$1262.25	$498.57
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	130	124	$563.37	$218.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	29	$185.00	$83.20
93280 Programming of dual lead pacemaker system	70	51	$230.00	$90.07
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	56	52	$187.50	$3.23
93000 Routine ekg using at least 12 leads including interpretation and report	47	47	$39.00	$15.87
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	44	44	$665.09	$255.30
93320 Ultrasound of heart blood flow, valves and chambers	41	40	$387.50	$18.63
93312 Ultrasound of heart with probe in esophagus, with report	37	37	$735.00	$111.37
93355 Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report	29	29	$592.00	$233.09
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	28	28	$70.00	$27.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$447.00	$180.05
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	19	19	$442.50	$80.03
93320 Ultrasound of heart blood flow, valves and chambers	17	17	$174.41	$53.01
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	17	17	$82.94	$24.51
93308 Ultrasound of heart, follow-up	15	15	$320.00	$26.07
93321 Follow-up or limited heart doppler ultrasound study of heart blood flow, valves, and chambers	15	15	$75.00	$7.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2785 Injection, regadenoson, 0.1 mg	824	204	$512.00	$60.55
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	374	186	$354.00	$213.58
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	261	247	$395.00	$75.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	246	193	$345.00	$142.68
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	204	197	$1315.71	$515.09
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	179	178	$197.00	$70.23
99213 Established patient office or other outpatient visit, typically 15 minutes	164	148	$245.00	$101.25
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	111	107	$536.73	$204.01
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	56	46	$187.50	$3.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	22	$185.00	$76.46
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	55	53	$70.00	$29.10
93000 Routine ekg using at least 12 leads including interpretation and report	54	53	$39.00	$15.81
93320 Ultrasound of heart blood flow, valves and chambers	49	42	$387.50	$19.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$447.00	$181.42
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	42	42	$671.71	$274.47
93280 Programming of dual lead pacemaker system	37	28	$230.00	$94.73
93312 Ultrasound of heart with probe in esophagus, with report	36	29	$735.00	$116.86
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	19	18	$2585.00	$287.70
93320 Ultrasound of heart blood flow, valves and chambers	16	16	$146.00	$60.27
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	16	16	$69.00	$28.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$350.00	$145.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2785 Injection, regadenoson, 0.1 mg	843	211	$512.00	$59.49
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	261	129	$180.00	$122.27
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	218	216	$1001.28	$531.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	180	$195.00	$145.02
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	182	180	$334.00	$71.29
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	172	168	$158.00	$76.61
99213 Established patient office or other outpatient visit, typically 15 minutes	158	134	$132.00	$102.28
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	126	116	$722.78	$192.23
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	79	75	$40.00	$9.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	36	$126.00	$77.78
93280 Programming of dual lead pacemaker system	49	47	$175.00	$90.82
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	43	33	$75.00	$3.42
93312 Ultrasound of heart with probe in esophagus, with report	42	37	$294.00	$118.29
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	40	34	$59.00	$29.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$296.00	$186.84
93320 Ultrasound of heart blood flow, valves and chambers	37	27	$155.00	$19.73
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	34	34	$681.00	$280.06
93246 Heart rhythm recording of continous external ekg over 8-15 days	32	32	$37.00	$17.40
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	32	32	$286.00	$29.99
93320 Ultrasound of heart blood flow, valves and chambers	32	32	$290.00	$62.76
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$88.00	$16.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$258.00	$147.06
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	11	11	$1034.00	$302.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2785 Injection, regadenoson, 0.1 mg	616	154	$512.00	$58.91
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	324	162	$180.00	$122.62
99213 Established patient office or other outpatient visit, typically 15 minutes	244	213	$132.00	$82.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	183	$195.00	$121.09
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	161	161	$1071.00	$564.44
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	159	159	$334.00	$71.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	139	43	$126.00	$79.32
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	97	97	$158.00	$81.42
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	92	87	$940.00	$239.73
93280 Programming of dual lead pacemaker system	51	46	$175.00	$82.80
93000 Routine ekg using at least 12 leads including interpretation and report	42	42	$88.00	$19.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	39	$258.00	$150.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$296.00	$180.70
93320 Ultrasound of heart blood flow, valves and chambers	31	31	$290.00	$62.43
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	31	31	$286.00	$29.59
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	30	30	$681.00	$272.31
0298T Review and interpretation of external EKG recording for more than 48 hours up to 21 days	30	29	$149.00	$29.22
0296T External EKG recording for more than 48 hours up to 21 days	28	27	$342.00	$31.03
99235 Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes	18	18	$381.00	$185.09
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	18	18	$1034.00	$301.36
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	14	13	$75.00	$3.53
93320 Ultrasound of heart blood flow, valves and chambers	13	13	$155.00	$20.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2785 Injection, regadenoson, 0.1 mg	939	233	$512.00	$57.14
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	508	252	$180.00	$120.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	451	336	$192.41	$120.58
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	255	253	$334.00	$70.35
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	253	251	$1071.00	$559.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	202	56	$126.00	$78.35
99213 Established patient office or other outpatient visit, typically 15 minutes	187	164	$130.07	$82.61
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	166	166	$158.00	$79.98
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	113	108	$940.00	$235.07
93000 Routine ekg using at least 12 leads including interpretation and report	71	69	$88.00	$19.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$292.44	$180.64
0298T Review and interpretation of external EKG recording for more than 48 hours up to 21 days	61	60	$132.93	$28.91
0296T External EKG recording for more than 48 hours up to 21 days	61	60	$342.00	$30.37
93280 Programming of dual lead pacemaker system	59	46	$175.00	$73.03
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	51	51	$286.00	$29.68
93320 Ultrasound of heart blood flow, valves and chambers	51	51	$290.00	$61.84
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	48	48	$681.00	$268.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	44	$258.00	$147.20
99235 Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes	28	26	$381.00	$182.35
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	28	28	$1034.00	$283.56
93320 Ultrasound of heart blood flow, valves and chambers	27	26	$155.00	$20.01
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	27	26	$75.00	$3.47
93312 Ultrasound of heart with probe in esophagus, with report	26	22	$294.00	$119.04
93355 Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report	21	21	$627.00	$250.36
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	15	15	$245.00	$93.00
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	12	12	$72.00	$16.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2785 Injection, regadenoson, 0.1 mg	976	243	$512.00	$55.28
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	504	251	$178.39	$118.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	457	325	$183.23	$118.28
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	256	254	$334.00	$69.85
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	253	251	$1071.00	$564.36
99213 Established patient office or other outpatient visit, typically 15 minutes	221	195	$122.93	$80.46
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	193	192	$158.00	$78.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	135	48	$126.00	$77.73
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	119	111	$926.86	$234.31
93000 Routine ekg using at least 12 leads including interpretation and report	66	64	$88.00	$18.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$277.52	$179.42
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	54	54	$286.00	$30.11
93320 Ultrasound of heart blood flow, valves and chambers	54	54	$290.00	$62.28
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	53	53	$681.00	$266.69
93320 Ultrasound of heart blood flow, valves and chambers	45	45	$155.00	$19.75
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	44	44	$75.00	$3.42
0298T Review and interpretation of external EKG recording for more than 48 hours up to 21 days	42	41	$100.00	$28.96
0296T External EKG recording for more than 48 hours up to 21 days	42	41	$342.00	$30.68
93280 Programming of dual lead pacemaker system	38	30	$175.00	$64.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$258.00	$145.65
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	30	29	$3434.87	$296.90
93312 Ultrasound of heart with probe in esophagus, with report	28	27	$619.93	$117.45
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	20	20	$245.00	$91.75
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	17	17	$72.00	$15.95
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	17	17	$88.00	$23.83
93355 Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report	16	15	$627.00	$243.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2785 Injection, regadenoson, 0.1 mg	1,084	265	$512.00	$53.89
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	581	284	$171.00	$118.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	399	304	$168.00	$118.67
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	291	284	$1071.00	$566.63
99213 Established patient office or other outpatient visit, typically 15 minutes	285	241	$115.00	$81.00
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	276	269	$334.00	$74.48
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	197	192	$160.23	$68.66
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	132	124	$934.08	$258.05
93000 Routine ekg using at least 12 leads including interpretation and report	119	113	$88.00	$19.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	108	48	$126.00	$77.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$258.00	$178.07
93320 Ultrasound of heart blood flow, valves and chambers	73	73	$290.00	$62.47
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	73	73	$286.00	$30.06
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	65	65	$681.00	$313.27
93280 Programming of dual lead pacemaker system	63	53	$175.00	$65.17
0296T External EKG recording for more than 48 hours up to 21 days	57	55	$342.00	$30.90
0298T Review and interpretation of external EKG recording for more than 48 hours up to 21 days	55	53	$100.00	$28.98
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	39	39	$75.00	$3.35
93320 Ultrasound of heart blood flow, valves and chambers	39	39	$155.00	$19.38
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	31	31	$3716.94	$313.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$258.00	$146.28
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	26	26	$245.00	$89.20
93355 Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report	15	14	$627.00	$241.51
99221 Initial hospital inpatient care per day, typically 30 minutes	13	12	$159.00	$108.08

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA A79886

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare

DB3373 (CA)

Commercial Insurance / Payer ID Medicare Ptan

W13988 (CA)

Commercial Insurance / Payer ID Medicare Ptan

W13988A (CA)

Hospital & Practice Group Affiliations

Providence Medical Foundation

1140 W La Veta Ave, Orange, CA 928684226

Phone: 7145435555

Providence Medical Foundation

1950 Sunny Crest Dr, Fullerton, CA 928353641

Phone: 7149925350

Providence Medical Foundation

1140 W La Veta Ave, Orange, CA 928684229

Phone: 7148358715

Providence Medical Foundation

200 W Ctr St Promenade, Anaheim, CA 928053960

Providence Medical Foundation

100 E Valencia Mesa Dr, Fullerton, CA 928353816

Phone: 7148713006

Providence Medical Foundation

1100 W Stewart Dr, Orange, CA 928683849

Phone: 7146339111

Secondary Practice Locations

700 N Tustin Ave

Santa Ana, CA 927053602

Phone: 7142451444

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Aileen Jiras , PA

Physician Assistant - Medical

NPI 1063054641

Physician Assistant

Dr. Erum Bajwa , MD

Internal Medicine - Cardiovascular Disease

NPI 1184069239

Doctor of Medicine (M.D.)

Dr. Donald Mahon , MD

Internal Medicine - Cardiovascular Disease

NPI 1255335659

Doctor of Medicine (M.D.)

Allysha Varughese , PA-C

Physician Assistant

NPI 1316430754

Physician Assistant (Certified)

Dr. Warren Johnston , MD

Internal Medicine - Cardiovascular Disease

NPI 1427052802

Doctor of Medicine (M.D.)

Jessica Weaver , NP

Nurse Practitioner - Primary Care

NPI 1437538485

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location November 12, 2019

Registered at 1140 W LA VETA AVE STE 430, ORANGE, CA 928684226 (Tel: 7145435555)

📍

Updated Business Mailing Address November 12, 2019

Registered at 1140 W LA VETA AVE STE 430, ORANGE, CA 928684226 (Tel: 7145435555)

✅

NPI Profile Active May 06, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location May 06, 2010

Registered at 700 N TUSTIN AVE, SANTA ANA, CA 927053602 (Tel: 7142451444)

📍

Updated Business Mailing Address May 06, 2010

Registered at 700 N TUSTIN AVE, SANTA ANA, CA 927053602 (Tel: 7142451444)

👤

Provider Name / Credentials Updated May 06, 2010

Recorded as THOMAS KIM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2010

Specialist (License #A79886 in CA)

🟢

Initial NPI Registration & Enumeration June 15, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1144225301

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2005

Last Update: November 12, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1140 W La Veta Ave Ste 430

Orange, CA 928684226

Phone: 7145435555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.