1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Family Medicine
  6. NPI Profile

KENNETH K KIM M.D.
NPI 1295776474
Family Medicine in Los Angeles, CA

Active since June 09, 2006PECOS Enrolled
520 S VIRGIL AVE, SUITE 106, LOS ANGELES, CA 90020(213) 234-5575(213) 427-9850 Get Directions Write a Review

NPPES record last updated: November 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth K Kim M.d. NPPES

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

KENNETH K KIM M.D. (NPI 1295776474) is an individual family medicine provider in Los Angeles, California, licensed in California (G71557) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1989).

NPPES Registry Identity

NPI1295776474
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH K KIMCredential: M.D.
Location Address520 S VIRGIL AVE, SUITE 106Los Angeles, CA 90020-1416
Mailing AddressP.o. Box 741519Los Angeles, CA 90004 · (213) 234-5575 · Fax (213) 427-9850
Phone(213) 234-5575
Fax(213) 427-9850
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 1989
Enumeration DateJune 9, 2006
Last NPPES UpdateNovember 18, 2011
✔ NPI 1295776474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G71557
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
520 S VIRGIL AVE, Los Angeles, CA 90020
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth K Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082613146
PECOS Enrollment IDI20061219000170
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90020 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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.

JAMES J KIM M.D.
Psychiatry & Neurology (Neurology)
520 S VIRGIL AVE, SUITE 307
LOS ANGELES, CA 90020
Los Angeles County (213) 386-2500
PILSOO OH MD
Internal Medicine (Gastroenterology)
520 S VIRGIL AVE, SUITE 202
LOS ANGELES, CA 90020
Los Angeles County (213) 368-0360
DR. INSOO KIM DC
Chiropractor
520 S VIRGIL AVE, #206
LOS ANGELES, CA 90020
Los Angeles County (213) 382-8300
JAMES J KIM MD INC
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
520 S VIRGIL AVE, SUITE 307
LOS ANGELES, CA 90020
Los Angeles County (213) 386-2500
CK SPINAL HEALTH CENTER
Chiropractor
520 S VIRGIL AVE, SUITE# 206
LOS ANGELES, CA 90020
Los Angeles County (213) 382-8300
SOUTHERN CALIFORNIA FOOT AND ANKLE MEDICAL CENTER
Podiatrist (Foot & Ankle Surgery)
520 S VIRGIL AVE, SUITE 105
LOS ANGELES, CA 90020
Los Angeles County (213) 352-1090
MIN YOUNG CHA MD INC
Internal Medicine
520 S VIRGIL AVE, 507
LOS ANGELES, CA 90020
Los Angeles County (213) 480-7770
JAI H LEE MD A PROFESSIONAL CORPORATION
Orthopaedic Surgery
520 S VIRGIL AVE, SUITE 103
LOS ANGELES, CA 90020
Los Angeles County (213) 380-0028

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 Kenneth Kim's NPI number?

The NPI number for Kenneth Kim is 1295776474. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Kenneth Kim located?

Kenneth Kim practices at 520 S Virgil Ave Suite 106, Los Angeles, CA 90020. The listed phone number is (213) 234-5575.

What is Kenneth Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kenneth Kim was last updated on November 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.