1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Nurse Practitioner
  6. NPI Profile

STEPHANIE KIM
NPI 1407517709
Nurse Practitioner - Pediatrics, Critical Care in Los Angeles, CA

Active since January 07, 2022PECOS Enrolled
1260 VETERAN AVE APT 108, LOS ANGELES, CA 90024(201) 450-3642 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Stephanie Kim NPPES

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

STEPHANIE KIM (NPI 1407517709) is an individual pediatrics, critical care provider in Los Angeles, California, licensed in California (95018364) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407517709
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameSTEPHANIE KIM
Location Address1260 VETERAN AVE APT 108Los Angeles, CA 90024-0059
Mailing Address1260 Veteran Ave Apt 108Los Angeles, CA 90024-0059 · (201) 450-3642
Phone(201) 450-3642
Sole ProprietorYes
Enumeration DateJanuary 7, 2022
NPPES CertifiedJanuary 7, 2022
✔ NPI 1407517709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in CA · 95018364
1260 VETERAN AVE APT 108, Los Angeles, CA 90024
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)

Stephanie 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90024 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.

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 Stephanie Kim's NPI number?

The NPI number for Stephanie Kim is 1407517709. It was assigned to this individual provider in the NPPES registry on January 7, 2022.

Where is Stephanie Kim located?

Stephanie Kim practices at 1260 Veteran Ave Apt 108, Los Angeles, CA 90024. The listed phone number is (201) 450-3642.

What is Stephanie Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Stephanie Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stephanie Kim was last updated on January 7, 2022. 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.