MEDICARE: JOSEF KIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-18-68691	CA
2	171M00000X	Case Manager/Care Coordinator		CA
3	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1528535648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEF KIM

Provider Business Mailing Address
First Line	:	3800 WATT AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-2670
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 WATT AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-2670
Country	:	US
Telephone Number	:	916-584-7800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2018
Last Update Date	:	04/19/2021

Similar Medicare Providers

1730998311 — FIDEL JESUS RODRIGUEZ
Practice Location Address:

3800 WATT AVE STE 100
SACRAMENTO, CA
95821-2670

Practice Phone: 916-344-0249
Practice Fax:

1679649776 — MS. PAULETTE ANN JANSEN LCSW
Practice Location Address:

2670 BELL ST
SACRAMENTO, CA
95821-4647

Practice Phone: 916-333-3584
Practice Fax:

1023549342 — AMANDA ALDEGHI M.A.
Practice Location Address:

3800 WATT AVE
SACRAMENTO, CA
95821-2670

Practice Phone: 916-344-0249
Practice Fax:

1194221556 — KRYSTEN PORTER
Practice Location Address:

3800 WATT AVE
SACRAMENTO, CA
95821-2670

Practice Phone: 916-584-7800
Practice Fax:

1659856912 — MISS TIA GILES
Practice Location Address:

3800 WATT AVE
SACRAMENTO, CA
95821-2670

Practice Phone: 916-344-0249
Practice Fax:

1669011003 — ATALIA MADAI PALOMERA VELAZQUEZ
Practice Location Address:

3800 WATT AVE
SACRAMENTO, CA
95821-2670

Practice Phone: 559-967-6911
Practice Fax:

Directions to “ JOSEF KIM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.