Shannon Kim
NPI 1588077564 · Pediatrics Physician · La Jolla, CA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Kim is a Pediatrics Physician provider in La Jolla, CA (NPI 1588077564).
Provider details
- NPI number
- 1588077564
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- A162026 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 7910 Frost StreetSuite 350San Diego, CA 92123Phone: (858) 496-4800
Registry dates
- Enumerated
- 2014-06-06
- Last updated
- 2022-09-28
- Certified
- 2022-09-28
Frequently asked questions
- What is Shannon Kim's NPI number?
- Shannon Kim's National Provider Identifier (NPI) is 1588077564, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Kim's specialty?
- Shannon Kim is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Shannon Kim located?
- Shannon Kim's practice location on file with NPPES is 8910 Villa La Jolla Drive, La Jolla, CA 92037.
- What is Shannon Kim's phone number?
- The practice phone number listed in the NPPES registry for Shannon Kim is (858) 203-4962.
- Does Shannon Kim accept Medicare?
- Shannon Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Kim's NPI active?
- Yes — Shannon Kim's NPI (1588077564) is active in the NPPES registry as of the last update on 2022-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.