ALICE S KIM MD
NPI 1306580097
Family Medicine in Pasadena, CA

Active since April 27, 2022PECOS EnrolledAccepts Medicare Assignment
625 S FAIR OAKS AVE STE 280, PASADENA, CA 91105(626) 304-0070 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alice S Kim Md NPPES

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

ALICE S KIM MD (NPI 1306580097) is an individual family medicine provider in Pasadena, California, licensed in California (A198301) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Palm Springs, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1306580097
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALICE S KIMCredential: MD
Location Address625 S FAIR OAKS AVE STE 280Pasadena, CA 91105-2670
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 27, 2022
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
NPI 1306580097 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 · A198301
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.

625 S FAIR OAKS AVE STE 280, Pasadena, CA 91105

Secondary Practice Location 1

Location 11150 N Indian Canyon DrPalm Springs, CA 92262-4872 · Phone (760) 323-6511

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alice S Kim Md 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 ID8820509607
PECOS Enrollment IDI20250618001397
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 91105 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 7

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

Ophthalmology (Neuro-ophthalmology)
625 S FAIR OAKS AVE STE 280
PASADENA, CA 91105
Ophthalmology
625 S FAIR OAKS AVE STE 280
PASADENA, CA 91105
Ophthalmology (Neuro-ophthalmology)
625 S FAIR OAKS AVE STE 280
PASADENA, CA 91105
Ophthalmology
625 S FAIR OAKS AVE STE 280
PASADENA, CA 91105
Ophthalmology
625 S FAIR OAKS AVE STE 280
PASADENA, CA 91105
Internal Medicine (Pulmonary Disease)
625 S FAIR OAKS AVE STE 280
PASADENA, CA 91105
Internal Medicine
625 S FAIR OAKS AVE STE 280
PASADENA, CA 91105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306580097, enumerated as an "individual" on April 27, 2022.

The provider is located at 625 S FAIR OAKS AVE STE 280 PASADENA, CA 91105 and the phone number is (626) 304-0070.

Family Medicine with taxonomy code 207Q00000X.