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ELEANOR KIM
NPI 1164008918
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 22, 2021PECOS Enrolled
4733 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 783-1404 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 6, 2021, Mar 22, 2021 (2 updates tracked since 2021).

About Eleanor Kim NPPES

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

ELEANOR KIM (NPI 1164008918) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164008918
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELEANOR KIM
Location Address4733 W SUNSET BLVDLos Angeles, CA 90027-6021
Mailing Address4733 W Sunset BlvdLos Angeles, CA 90027-6021 · (323) 783-1404
Phone(323) 783-1404
Sole ProprietorNo
Enumeration DateMarch 22, 2021
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1164008918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4733 W SUNSET BLVD, Los Angeles, CA 90027
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eleanor 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.

Medicare Billing Reassignment

Medicare enrollment records show Eleanor Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
Same address
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

YUH-JER SHEN MD
Internal Medicine (Cardiovascular Disease)
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
ADRIAN D. MIREA MD
Psychiatry & Neurology (Psychiatry)
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
TERRE J WATSON OD
Optometrist
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
BRUNO J. LEWIN MD
Family Medicine
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
MICHAEL S. FAN MD
Internal Medicine
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
ARNOLD BARRON MD
Ophthalmology
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
NAITIVICTOR L ONG PA
Physician Assistant
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
CYNTHIA L PLEHN CRNA
Nurse Anesthetist, Certified Registered
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011

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 Eleanor Kim's NPI number?

The NPI number for Eleanor Kim is 1164008918. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Eleanor Kim located?

Eleanor Kim practices at 4733 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 783-1404.

What is Eleanor Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Eleanor Kim enrolled in Medicare?

Yes. Eleanor Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eleanor Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eleanor 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 Eleanor 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 Eleanor Kim was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.