EDWARD KIM
NPI 1053088799
Nurse Practitioner - Psychiatric/Mental Health in Torrance, CA
About Edward Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD KIM (NPI 1053088799) is an individual psychiatric/mental health provider in Torrance, California, licensed in California (95017647) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Edward Kim is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Edward Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Harbor City, CA 90710
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Newport Beach, CA 92662
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Jason Kellogg MD Inc
- 25 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90505 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TORRANCE, CA 90505
TORRANCE, CA 90505
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 Edward Kim's NPI number?
The NPI number for Edward Kim is 1053088799. It was assigned to this individual provider in the NPPES registry on August 29, 2021.
Where is Edward Kim located?
Edward Kim practices at 3333 Skypark Dr Ste 220, Torrance, CA 90505. The listed phone number is (855) 501-1004.
What is Edward Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Edward Kim enrolled in Medicare?
Yes. Edward Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Edward Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Kim reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Harbor City, CA) and Jason Kellogg M.D. Inc (Newport Beach, CA). Each 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 Edward 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 Edward Kim was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Edward Kim · NPI 1053088799
Psychiatric/Mental Health physician in Torrance, California. Individual provider, active in the CMS NPPES registry since August 29, 2021.
## Identity
- **NPI:** 1053088799 (Entity type: Individual)
- **Enumerated:** August 29, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95017647 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3333 SKYPARK DR STE 220, Torrance, CA 90505-5035
- **Phone:** (855) 501-1004
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1598797011, Harbor City, CA); Jason Kellogg M.D. Inc (NPI 1235391624, Newport Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 2, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1053088799) · Data from the CMS NPPES public registry.