IndividualActive
Jisun Kim
NPI 1518722941 · General Practice Dentistry · San Diego, CA
Jisun Kim is a General Practice Dentistry provider in San Diego, CA (NPI 1518722941).
Provider details
- NPI number
- 1518722941
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 112452 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
2310 Craven St Unit 3230
San Diego, CA 92136-5596
Phone: (619) 556-8240
Approximate (ZIP-level) locationGet directions
Mailing address
800 Broadway Apt 1807
San Diego, CA 92101-5656
Registry dates
- Enumerated
- 2024-02-15
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Frequently asked questions
- What is Jisun Kim's NPI number?
- Jisun Kim's National Provider Identifier (NPI) is 1518722941, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jisun Kim's specialty?
- Jisun Kim is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jisun Kim located?
- Jisun Kim's practice location on file with NPPES is 2310 Craven St Unit 3230, San Diego, CA 92136-5596.
- What is Jisun Kim's phone number?
- The practice phone number listed in the NPPES registry for Jisun Kim is (619) 556-8240.
- Is Jisun Kim's NPI active?
- Yes — Jisun Kim's NPI (1518722941) is active in the NPPES registry as of the last update on 2025-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.