Grace Kim (NPI# 1083634323, PAC ID# 3779644109) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1083634323 |
| PAC ID by PECOS | 3779644109 |
| Professional Enrollment ID | I20081204000215 |
| Full Name | Grace Kim |
| Organization Legal Name | COMPREHENSIVE DIABETES-ENDOCRINE MEDICAL ASSOCIATES, INC. |
| Address |
1660 San Carlos Ave San Carlos CA 94070-2022 |
| Phone Number | 6505919933 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | ENDOCRINOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0143381566 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050197 | SEQUOIA HOSPITAL |
| 050007 | PENINSULA MEDICAL CENTER |
| 050289 | SETON MEDICAL CENTER |
| 050441 | STANFORD HEALTH CARE |
| Address | Phone | Organization |
|---|---|---|
| 1140 Laurel St, Suite D, San Carlos, CA 94070-5054 | 6505919933 | COMPREHENSIVE DIABETES-ENDOCRINE MEDICAL ASSOCIATES, INC. |
| 1660 San Carlos Ave, San Carlos, CA 94070-2022 | 6505919933 | COMPREHENSIVE DIABETES-ENDOCRINE MEDICAL ASSOCIATES, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 64% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 1% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 45% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
| MIPS_EC_047_overall | Care Plan | 0% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | COMPREHENSIVE DIABETES-ENDOCRINE MEDICAL ASSOCIATES, INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leila Chaychi | Endocrinology | Comprehensive Diabetes-endocrine Medical Associates, Inc. | 1660 San Carlos Ave, San Carlos, CA 94070-2022 |
| Laurence Gavin | Endocrinology | Comprehensive Diabetes-endocrine Medical Associates, Inc. | 1800 Sullivan Ave, Suite 408, Daly City, CA 94015-2224 |
| Street Address |
1660 SAN CARLOS AVE |
| City | SAN CARLOS |
| State | CA |
| Zip | 94070-2022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leila Chaychi | Endocrinology | Comprehensive Diabetes-endocrine Medical Associates, Inc. | 1660 San Carlos Ave, San Carlos, CA 94070-2022 |
| Pragya Jain | Internal Medicine | Dignity Health Medical Foundation | 1660 San Carlos Ave, San Carlos, CA 94070-2022 |
| Martha Alba Mejia | Internal Medicine | Dignity Health Medical Foundation | 1660 San Carlos Ave, San Carlos, CA 94070-2022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norna L Karp | Diagnostic Radiology | Virtual Radiologic Professionals of California Pa | 156 Plymouth Ave, San Carlos, CA 94070-1621 |
| Robert L Hetland | Ophthalmology | 1395 San Carlos Ave A, San Carlos, CA 94070-2389 | |
| Kristina Stasko Woodward | Optometry | All Eyes On You Optometry Inc | 336 El Camino Real, San Carlos, CA 94070-2408 |
| Marie H Jhin | Dermatology | Premier Dermatology A Medical Corporation | 378 El Camino Real, San Carlos, CA 94070-2408 |
| Lauren Oneill Wurster | Nurse Practitioner | Premier Dermatology A Medical Corporation | 378 El Camino Real, San Carlos, CA 94070-2408 |
| Tracy A Phillips | Optometry | All Eyes On You Optometry Inc | 336 El Camino Real, San Carlos, CA 94070-2408 |
| James Matthew Loucks | Chiropractic | 1139 Bush St, Suite C, San Carlos, CA 94070-2448 | |
| Rebecca M Ashe | Internal Medicine | Sutter Bay Medical Foundation | 301 Industrial Rd, San Carlos, CA 94070-2603 |
| Sarah R Cheyette | Neurology | Sutter Bay Medical Foundation | 301 Industrial Rd, San Carlos, CA 94070-2603 |
| Aria Dibiase | Advanced Heart Failure and Transplant Cardiology | Sutter Bay Medical Foundation | 301 Industrial Rd, San Carlos, CA 94070-2603 |
| Find all physicians in zip 94070 | |||
| City | SAN CARLOS |
| Zip Code | 94070 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | SAN CARLOS + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Grace 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.