DR. WARREN TACKHOON KIM M.D. PH.D. NPI 1063532778

NPI Information

  • NPI: 1063532778
  • Provider Name: DR. WARREN TACKHOON KIM, M.D., PH.D.
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1100 VAN NESS AVE
    SAN FRANCISCO, CA
    ZIP 94109
  • Phone: (415) 600-0528

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NPI Details

DR. Warren Tackhoon Kim, M.D., PH.D. is a vascular and interventional radiology radiology in San Francisco, CA with 22 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Warren Tackhoon Kim, M.D., PH.D. NPI is 1063532778. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

1100 VAN NESS AVE
SAN FRANCISCO, CA
ZIP 94109-978
Phone: (415) 600-0528
Fax: (415) 369-1207

The NPI 1063532778 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist (HCPCS:36224)
  • Insertion of tube into brain artery for diagnosis or treatment with review by radiologist (HCPCS:36226)

The enumeration date for this NPI number is 3/29/2007 and was last updated on 1/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0700XRadiologyNeuroradiology893219CALIFORNIANo
22085N0700XRadiologyNeuroradiologyA91921CALIFORNIANo
32085R0202XRadiologyDiagnostic Radiology893219CALIFORNIANo
42085R0202XRadiologyDiagnostic RadiologyA91921CALIFORNIANo
52085R0204XRadiologyVascular & Interventional RadiologyA91921CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P01266715OTHERCALIFORNIARAILROAD MEDICARE
2A91921OTHERCALIFORNIASTATE MEDICAL LICENSE
31063532778MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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