ANNA KIM CRNA
NPI 1164939781
Nurse Anesthetist, Certified Registered in Los Angeles, CA
About Anna Kim Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNA KIM CRNA (NPI 1164939781) is an individual nurse anesthetist, certified registered in Los Angeles, California, licensed in California (95000857) and active in the NPI registry since January 2018. She is a graduate of Albany Medical College Of Union University (2017).
NPPES Registry Identity
Specialties & Licenses
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
Anna 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.
Medicare Billing Reassignments
3Medicare enrollment records show Anna Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 295 clinicians in this Medicare group
Beverly Hills, CA 90211
- Reassigned Medicare billing, California enrollment
- 34 clinicians in this Medicare group
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 554 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 5
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 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Anna Kim's NPI number?
The NPI number for Anna Kim is 1164939781. It was assigned to this individual provider in the NPPES registry on January 4, 2018.
Where is Anna Kim located?
Anna Kim practices at 757 Westwood Plz Ste 3325, Los Angeles, CA 90095. The listed phone number is (310) 794-6349.
What is Anna Kim's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Anna Kim enrolled in Medicare?
Yes. Anna 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 Anna Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anna Kim reassigns Medicare benefits to 3 organizations: Regents Of The University Of California (Los Angeles, CA), Axiom Anesthesia A Professional Nursing Corporation (Beverly Hills, CA) and Martin Luther King Jr Community Medical Foundation (Los Angeles, 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 Anna 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 Anna Kim was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Anna Kim, CRNA · NPI 1164939781
Nurse Anesthetist, Certified Registered physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since January 4, 2018.
## Identity
- **NPI:** 1164939781 (Entity type: Individual)
- **Enumerated:** January 4, 2018
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 95000857 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 757 WESTWOOD PLZ STE 3325, Los Angeles, CA 90095-8358
- **Phone:** (310) 794-6349 · **Fax:** (310) 267-3899
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of California (NPI 1326096165, Los Angeles, CA); Axiom Anesthesia A Professional Nursing Corporation (NPI 1760150155, Beverly Hills, CA); Martin Luther King Jr Community Medical Foundation (NPI 1356899777, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 2017
## Record status
- **NPPES last updated:** October 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164939781) · Data from the CMS NPPES public registry.