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BO EUN KIM PA
NPI 1326901414
Physician Assistant in Glendale, CA

Active since December 05, 2025PECOS Enrolled
3974 PENNSYLVANIA AVE, GLENDALE, CA 91214(818) 390-2324 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bo Eun Kim Pa NPPES

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

BO EUN KIM PA (NPI 1326901414) is an individual physician assistant in Glendale, California and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1326901414
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBO EUN KIMCredential: PA
Location Address3974 PENNSYLVANIA AVEGlendale, CA 91214-3793
Mailing Address3974 Pennsylvania Ave Unit 102Glendale, CA 91214-3794
Phone(818) 390-2324
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 5, 2025
NPPES CertifiedDecember 3, 2025
✔ NPI 1326901414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3974 PENNSYLVANIA AVE, Glendale, CA 91214
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Other Names 1

Other Name (5)Bonnie Kim Pa

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bo Eun Kim Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517436603
PECOS Enrollment IDI20260519000622
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 91214 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
$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.

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 Bo Eun Kim's NPI number?

The NPI number for Bo Eun Kim is 1326901414. It was assigned to this individual provider in the NPPES registry on December 5, 2025. The provider is also known as Bonnie Kim PA.

Where is Bo Eun Kim located?

Bo Eun Kim practices at 3974 Pennsylvania Ave, Glendale, CA 91214. The listed phone number is (818) 390-2324.

What is Bo Eun Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bo Eun Kim enrolled in Medicare?

Yes. Bo Eun Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bo Eun Kim was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.