FLORENCE KIM
NPI 1396122156
Nurse Practitioner - Family in Fullerton, CA

Q: What is Florence Kim's NPI number?

The NPI number for Florence Kim is 1396122156. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Q: What is Florence Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Florence Kim was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 30, 2015PECOS Enrolled

1893 W MALVERN AVE, FULLERTON, CA 92833(714) 992-2454 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2021, Aug 21, 2019 (2 updates tracked since 2019).

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About Florence Kim NPPES

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

FLORENCE KIM (NPI 1396122156) is an individual family provider in Fullerton, California, licensed in California (95002099) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Anaheim.

NPPES Registry Identity

NPI1396122156

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameFLORENCE KIM

Location Address1893 W MALVERN AVEFullerton, CA 92833-2403

Mailing Address1893 W Malvern AveFullerton, CA 92833-2403 · (714) 992-2454

Phone(714) 992-2454

Sole ProprietorNo

Enumeration DateApril 30, 2015

Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration

✔ NPI 1396122156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95002099

1893 W MALVERN AVE, Fullerton, CA 92833

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Secondary Practice Location 1

Location 1710 N Euclid St Ste 400Anaheim, CA 92801-4132 · Phone (714) 517-2000 · Fax (714) 490-1975

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Florence Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

Same address

Health Maintenance Organization

1893 W MALVERN AVE
Fullerton, CA 92833

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1336556059 (877) 608-0044

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 92833 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 9

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

DR. MAI TANG O.D.

Optometrist