IndividualActive
Grace Kim, MS, RD
NPI 1417415662 · Registered Dietitian · San Bruno, CA
Grace Kim, MS, RD is a Registered Dietitian provider in San Bruno, CA (NPI 1417415662).
Provider details
- NPI number
- 1417415662
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD
- Sex
- Female
- Sole proprietor
- No
- License
- 86094017 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2120 Evergreen Dr
San Bruno, CA 94066-1828
Phone: (650) 808-0652
Street-level locationGet directions
Mailing address
2120 Evergreen Dr
San Bruno, CA 94066-1828
Registry dates
- Enumerated
- 2019-03-06
- Last updated
- 2019-03-06
Frequently asked questions
- What is Grace Kim's NPI number?
- Grace Kim's National Provider Identifier (NPI) is 1417415662, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Grace Kim's specialty?
- Grace Kim is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Grace Kim located?
- Grace Kim's practice location on file with NPPES is 2120 Evergreen Dr, San Bruno, CA 94066-1828.
- What is Grace Kim's phone number?
- The practice phone number listed in the NPPES registry for Grace Kim is (650) 808-0652.
- Is Grace Kim's NPI active?
- Yes — Grace Kim's NPI (1417415662) is active in the NPPES registry as of the last update on 2019-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.