ANGIE BYUNG JU KIM PA-C
NPI 1144735895
Physician Assistant in Pasadena, CA

Q: What is Angie Kim's NPI number?

The NPI number for Angie Kim is 1144735895. It was assigned to this individual provider in the NPPES registry on December 4, 2017.

Q: What is Angie Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Angie Kim was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since December 04, 2017PECOS Enrolled

1855 N FAIR OAKS AVE, PASADENA, CA 91103(626) 993-1221 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2021, Nov 13, 2019, Nov 14, 2018 and 1 more (4 updates tracked since 2017).

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About Angie Byung Ju Kim Pa-c NPPES

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

ANGIE BYUNG JU KIM PA-C (NPI 1144735895) is an individual physician assistant in Pasadena, California, licensed in California (55199) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1144735895

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANGIE BYUNG JU KIMCredential: PA-C

Location Address1855 N FAIR OAKS AVEPasadena, CA 91103-1620

Mailing Address455 W Montana StPasadena, CA 91103-1327

Phone(626) 993-1221

Sole ProprietorNo

Enumeration DateDecember 4, 2017

Last NPPES UpdateApril 21, 20214 updates tracked since enumeration

NPPES CertifiedApril 21, 2021

✔ NPI 1144735895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · 55199

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1855 N FAIR OAKS AVE, Pasadena, CA 91103

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Secondary Practice Locations 4

Location 12501 E Chapman AveOrange, CA 92869-3204 · Phone (714) 633-1011

Location 22251 N Harbor BlvdFullerton, CA 92835-2601 · Phone (714) 449-6230

Location 32212 E 4th St Ste 103Santa Ana, CA 92705-3871 · Phone (714) 571-7700

Location 426800 Crown Valley Pkwy Ste 150Mission Viejo, CA 92691-8018 · Phone (949) 276-2111 · Fax (949) 276-2116

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angie Byung Ju Kim Pa-c 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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

36 services35 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91103 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

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN A. PEREZ M.D.

Pediatrics