MICHELLE KIM
NPI 1033589783
Nurse Practitioner - Family in Los Angeles, CA

Q: What is Michelle Kim's NPI number?

The NPI number for Michelle Kim is 1033589783. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Q: What is Michelle Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Kim was last updated on October 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 06, 2015PECOS Enrolled

6430 SELMA AVE, LOS ANGELES, CA 90028(323) 848-4522 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michelle Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE KIM (NPI 1033589783) is an individual family provider in Los Angeles, California, licensed in California (95001135) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033589783

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELLE KIM

Location Address6430 SELMA AVELos Angeles, CA 90028-7311

Mailing Address1420 S Figueroa St Apt 302Los Angeles, CA 90015-3295

Phone(323) 848-4522

Sole ProprietorNo

Enumeration DateOctober 6, 2015

✔ NPI 1033589783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95001135

6430 SELMA AVE, Los Angeles, CA 90028

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.