AGNES S KIM MD
NPI 1396804035
Psychiatry & Neurology - Neurology in Baldwin Park, CA
About Agnes S Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AGNES S KIM MD (NPI 1396804035) is an individual neurology provider in Baldwin Park, California, licensed in California (A97058) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2001).
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
Agnes 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.
Medicare Billing Reassignment
Medicare enrollment records show Agnes Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baldwin Park, CA 91706
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1396287082 (California)
- 13,921 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BALDWIN PARK, CA 91706
BALDWIN PARK, CA 91706
BALDWIN PARK, CA 91706
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 Agnes Kim's NPI number?
The NPI number for Agnes Kim is 1396804035. It was assigned to this individual provider in the NPPES registry on December 8, 2006.
Where is Agnes Kim located?
Agnes Kim practices at 1011 Baldwin Park Blvd, Baldwin Park, CA 91706. The listed phone number is (626) 851-1011.
What is Agnes Kim's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Agnes Kim enrolled in Medicare?
Yes. Agnes 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 organization bills Medicare for Agnes Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Agnes Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Baldwin Park, CA). The 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 Agnes 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 Agnes Kim was last updated on November 29, 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.
# Agnes S Kim, MD · NPI 1396804035
Neurology physician in Baldwin Park, California. Individual provider, active in the CMS NPPES registry since December 8, 2006.
## Identity
- **NPI:** 1396804035 (Entity type: Individual)
- **Enumerated:** December 8, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** A97058 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1011 BALDWIN PARK BLVD, Baldwin Park, CA 91706-5806
- **Phone:** (626) 851-1011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1770515280, Baldwin Park, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2001
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1396804035) · Data from the CMS NPPES public registry.