Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Kim was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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 January 07, 2022PECOS Enrolled

757 WESTWOOD PLZ, LOS ANGELES, CA 90095(310) 825-6752(310) 267-3856 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Jan 7, 2022 (2 updates tracked since 2022).

On this page

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 Address757 WESTWOOD PLZLos Angeles, CA 90095-8358

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(310) 825-6752

Fax(310) 267-3856

Sole ProprietorYes

Enumeration DateJanuary 7, 2022

Last NPPES UpdateOctober 13, 20262 updates tracked since enumeration

NPPES CertifiedOctober 13, 2026

✔ NPI 1407517709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in CA · 95018364

Also ListedNurse PractitionerTaxonomy 363L00000X · License 95018364 (CA)

757 WESTWOOD PLZ, Los Angeles, CA 90095

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 90095 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 20

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

CATHERINE CHA MD

Anesthesiology

757 WESTWOOD PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 825-8041

DR. TIFFANY PRUGPICHAILERS PEDIGO M.D.

Pediatrics

757 WESTWOOD PLZ, B711 RRUMC
LOS ANGELES, CA 90095

Los Angeles County (310) 267-9129

SAMRAWIT ABRAHA

Anesthesiology

757 WESTWOOD PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 267-6629

KEN DEKITANI

Internal Medicine

757 WESTWOOD PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 267-7849

JACQUELINE LABINS MD

Student in an Organized Health Care Education/Training Program

757 WESTWOOD PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 267-0903

JYODI DINESH MOHOLE MD

Student in an Organized Health Care Education/Training Program

757 WESTWOOD PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 267-9132

JASON THAMES HUYNH MD

Student in an Organized Health Care Education/Training Program

757 WESTWOOD PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 825-7375

BRITTANY CHY MD

Student in an Organized Health Care Education/Training Program

757 WESTWOOD PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 267-8655

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 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-6752.

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 October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.