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MR. IAN HYEON KIM CRNA
NPI 1164878955
Nurse Anesthetist, Certified Registered in Torrance, CA

Active since May 11, 2016Accepts Medicare Assignment
1000 W CARSON ST, TORRANCE, CA 90502(310) 222-2345 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2021, May 11, 2016 (2 updates tracked since 2016).

About Mr. Ian Hyeon Kim Crna NPPES

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

MR. IAN HYEON KIM CRNA (NPI 1164878955) is an individual nurse anesthetist, certified registered in Torrance, California, licensed in California (95000427) and active in the NPI registry since May 2016. He is a graduate of Other (2015).

NPPES Registry Identity

NPI1164878955
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. IAN HYEON KIMCredential: CRNA
Location Address1000 W CARSON STTorrance, CA 90502-2004
Mailing Address23455 Candlewood WayWest Hills, CA 91307-1414 · (213) 400-6057
Phone(310) 222-2345
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 11, 2016
Last NPPES UpdateOctober 12, 20212 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
✔ NPI 1164878955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95000427
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1000 W CARSON ST, Torrance, CA 90502
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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 and accepts Medicare assignment

Mr. Ian Hyeon Kim Crna 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.

PECOS PAC ID749522100
PECOS Enrollment IDI20190503002285

Medicare Billing Reassignments

3

Medicare enrollment records show Ian Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
3.0 mi
Health Maintenance Organization
25825 VERMONT AVE
Harbor City, CA 90710
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1598797011 (310) 325-5111
Tip Top Anesthesia Group Inc
17 mi
Licensed Practical Nurse
50 N LA CIENEGA BLVD, SUITE 203
Beverly Hills, CA 90211
  • Reassigned Medicare billing, California enrollment
  • 88 clinicians in this Medicare group
NPI 1508283698 (323) 988-0896
Premier Digestive Health A Medical Corporation
25 mi
Gastroenterology
16350 VENTURA BLVD # D539
Encino, CA 91436
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1316581390 (805) 492-6912

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 90502 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

MISS BRITTANY IRVINE M.A.
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-2345
DEPAREMENT OF MANTAL HEALTH
Case Management
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-1648
DINA M MEZA
Nurse Practitioner (Family)
1000 W CARSON ST, HEAD AND NECK BOX 6
TORRANCE, CA 90502
Los Angeles County (310) 222-2741
MARIA GUADALUPE VALADEZ
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (559) 789-1327
ESTEBAN COTA
Specialist
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-2345
MS. DAWN MARIE TLUSTY RN
Registered Nurse (Infusion Therapy)
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-1906
DR. NICOLE MOORE MD
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-2345
KENTON YUJI SAKURAI
Psychiatry & Neurology (Psychiatry)
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (424) 306-4000

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 Ian Kim's NPI number?

The NPI number for Ian Kim is 1164878955. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Where is Ian Kim located?

Ian Kim practices at 1000 W Carson St, Torrance, CA 90502. The listed phone number is (310) 222-2345.

What is Ian Kim's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Ian Kim enrolled in Medicare?

Yes. Ian 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 Ian Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ian Kim reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (Harbor City, CA), Tip Top Anesthesia Group Inc (Beverly Hills, CA) and Premier Digestive Health A Medical Corporation (Encino, 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 Ian 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 Ian Kim was last updated on October 12, 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.