OK SANG KIM CCP NPI 1619355492

NPI Information

  • NPI: 1619355492
  • Provider Name: OK SANG KIM, CCP
  • Classification: Perfusionist - 242T00000X
  • Entity Type: Individual
  • Address: 4218 EMPIRE WAY
    CARMICHAEL, CA
    ZIP 95608
  • Phone: (916) 802-8880

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NPI Details

Ok Sang Kim, CCP is a perfusionist in Carmichael, CA. The provider is a perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. Ok Sang Kim, CCP NPI is 1619355492. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4218 EMPIRE WAY
CARMICHAEL, CA
ZIP 95608-747
Phone: (916) 802-8880

The enumeration date for this NPI number is 5/12/2015 and was last updated on 5/12/2015.

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
1242T00000XPerfusionistB3805516CALIFORNIAYes

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: 11/21/2025

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