DR. DAVID DOHOON KIM M.D.
NPI 1407810625
Obstetrics & Gynecology in San Gabriel, CA

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
207 S SANTA ANITA AVE, SUITE 335, SAN GABRIEL, CA 91776(626) 576-1214(626) 458-3387 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. David Dohoon Kim M.d. NPPES

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

DR. DAVID DOHOON KIM M.D. (NPI 1407810625) is an individual obstetrics & gynecology provider in San Gabriel, California, licensed in California (C55594) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2002).

NPPES Registry Identity

NPI1407810625
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. DAVID DOHOON KIMCredential: M.D.
Location Address207 S SANTA ANITA AVE, SUITE 335San Gabriel, CA 91776-1146
Mailing Address147 W Sierra Madre BlvdSierra Madre, CA 91024-2492 · (626) 355-3443 · Fax (626) 355-7843
Fax(626) 458-3387
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2002
Enumeration DateApril 14, 2006
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1407810625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in CA · C55594✔ Licensed in IN · 01059064A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
207 S SANTA ANITA AVE, San Gabriel, CA 91776

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

Dr. David Dohoon Kim M.d. 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.

PECOS PAC ID3072510056
PECOS Enrollment IDI20130617000026
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 David Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
3600 ROSEMEAD BLVD
Rosemead, CA 91770
  • Reassigned Medicare billing, California enrollment
  • 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 91776 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 18

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

Internal Medicine
207 S SANTA ANITA AVE, SUITE G18
SAN GABRIEL, CA 91776
Pharmacist
207 S SANTA ANITA AVE, SUITE G-10
SAN GABRIEL, CA 91776
Anesthesiology
207 S SANTA ANITA AVE, G16
SAN GABRIEL, CA 91776
Internal Medicine
207 S SANTA ANITA AVE
SAN GABRIEL, CA 91776
Specialist
207 S SANTA ANITA AVE, SUITE P-25
SAN GABRIEL, CA 91776
Internal Medicine (Endocrinology, Diabetes & Metabolism)
207 S SANTA ANITA AVE, STE. P-20
SAN GABRIEL, CA 91776
Genetic Counselor, MS
207 S SANTA ANITA AVE
SAN GABRIEL, CA 91776
Allergy & Immunology
207 S SANTA ANITA AVE, SUITE P-15
SAN GABRIEL, CA 91776

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 David Kim's NPI number?

The NPI number for David Kim is 1407810625. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is David Kim located?

David Kim practices at 207 S Santa Anita Ave Suite 335, San Gabriel, CA 91776. The listed phone number is (626) 576-1214.

What is David Kim's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is David Kim enrolled in Medicare?

Yes. David 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 David Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Rosemead, 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 David 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 David Kim was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.