DR. KENNETH TAEYOUNG KIM MD
NPI 1003441262
Emergency Medicine in Los Angeles, CA
About Dr. Kenneth Taeyoung Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH TAEYOUNG KIM MD (NPI 1003441262) is an individual emergency medicine provider in Los Angeles, California, licensed in California (A183373) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kenneth Taeyoung Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90034
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Kim's NPI number?
The NPI number for Kenneth Kim is 1003441262. It was assigned to this individual provider in the NPPES registry on March 9, 2020.
Where is Kenneth Kim located?
Kenneth Kim practices at 1100 Glendon Ave Ste 1200, Los Angeles, CA 90024. The listed phone number is (310) 794-0785.
What is Kenneth Kim's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kenneth Kim enrolled in Medicare?
Yes. Kenneth Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kenneth Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kenneth Kim was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Kenneth Taeyoung Kim, MD · NPI 1003441262
Emergency Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 9, 2020.
## Identity
- **NPI:** 1003441262 (Entity type: Individual)
- **Enumerated:** March 9, 2020
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A183373 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 GLENDON AVE STE 1200, Los Angeles, CA 90024-3516
- **Phone:** (310) 794-0785
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1043242563, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1003441262) · Data from the CMS NPPES public registry.