Thomas Jinkyu Kim (NPI# 1033179072, PAC ID# 0446141204) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1033179072 |
| PAC ID by PECOS | 0446141204 |
| Professional Enrollment ID | I20040324000848 |
| Full Name | Thomas Jinkyu Kim |
| Organization Legal Name | DERMATOLOGY ASSOCIATES OF WESTLAKE |
| Address |
1240 Westlake Bl Suite 205 Westlake Vlg CA 91361-1992 |
| Phone Number | 8188897200 |
| Gender | M |
| Credential | MD |
| Medical School | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 1999 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4486682648 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1240 Westlake Bl, Suite 205, Westlake Vlg, CA 91361-1992 | 8188897200 | DERMATOLOGY ASSOCIATES OF WESTLAKE |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 57% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | DERMATOLOGY ASSOCIATES OF WESTLAKE |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Bastien | Dermatology | Dermatology Associates of Westlake | 1240 S Westlake Blvd, Suite 205, Westlake Village, CA 91361-1992 |
| Gary R Carlson | Dermatology | Dermatology Associates of Westlake | 1240 S Westlake Blvd, Suite 205, Westlake Village, CA 91361-1992 |
| Holly L Rausch | Dermatology | Dermatology Associates of Westlake | 1240 S Westlake Blvd, Suite 205, Westlake Village, CA 91361-1992 |
| Judith S Feldman | Dermatology | Dermatology Associates of Westlake | 1240 S Westlake Blvd, Suite 205, Westlake Village, CA 91361-1992 |
| Randolph S Capri | Dermatology | Dermatology Associates of Westlake | 1240 Westlake Bl, Suite 205, Westlake Vlg, CA 91361-1992 |
| Street Address |
1240 WESTLAKE BL SUITE 205 |
| City | WESTLAKE VLG |
| State | CA |
| Zip | 91361-1992 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randolph S Capri | Dermatology | Dermatology Associates of Westlake | 1240 Westlake Bl, Suite 205, Westlake Vlg, CA 91361-1992 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pezhman Nazemi | Ophthalmology | 351 E Rollings Oaks Dr, Suite 201, Thousand Oaks, CA 91361 | |
| Irina Feldman | Family Medicine | 375 Rolling Oaks Dr, Suite 115, Thousand Oaks, CA 91361-1000 | |
| Christine E Dahlin | Internal Medicine | 375 Rolling Oaks Dr, Suite 115, Thousand Oaks, CA 91361-1000 | |
| Kelley Ann Bannon | Qualified Audiologist | Decibel Hearing Services | 375 Rolling Oaks Dr, Suite 140, Thousand Oaks, CA 91361-1001 |
| Kenneth A Raven | Psychologist, Clinical | 25 W Rolling Oaks Dr, Suite 107, Thousand Oaks, CA 91361-1003 | |
| Steven Hershel Suchman | Family Medicine | 77 Rolling Oaks Dr, Suite 305, Thousand Oaks, CA 91361-1007 | |
| Barbara L Irish | Physician Assistant | Hullander and Mozingo Lp | 339 S Moorpark Rd, Thousand Oaks, CA 91361-1008 |
| Martin M Mortazavi | Neurosurgery | California Brain Institute Inc | 333 S Moorpark Rd, Thousand Oaks, CA 91361-1008 |
| Nicholas Fettman | Otolaryngology | West Coast Ear, Nose and Throat | 302 S Moorpark Rd, Thousand Oaks, CA 91361-1008 |
| David Rosenfeld | Colorectal Surgery (proctology) | David B. Rosenfeld Md Inc | 341 S Moorpark Rd, T.o.p., Thousand Oaks, CA 91361-1008 |
| Find all physicians in zip 91361 | |||
| City | WESTLAKE VLG |
| Zip Code | 91361 |
| Specialty | DERMATOLOGY |
| City + Specialty | WESTLAKE VLG + DERMATOLOGY |
Please comment or provide details below to improve the information on Thomas Jinkyu Kim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.