DAVID KIM AGACNP-BC
NPI 1447967682
Nurse Practitioner - Acute Care in Lake Balboa, CA
About David Kim Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID KIM AGACNP-BC (NPI 1447967682) is an individual acute care provider in Lake Balboa, California, licensed in California (95021554) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
David Kim Agacnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 1447967682. It was assigned to this individual provider in the NPPES registry on October 27, 2022.
Where is David Kim located?
David Kim practices at 16723 Vanowen St, Lake Balboa, CA 91406. The listed phone number is (818) 279-1745.
What is David Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
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.
When was this NPI record last updated?
The NPPES record for David Kim was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# David Kim, AGACNP-BC · NPI 1447967682
Acute Care physician in Lake Balboa, California. Individual provider, active in the CMS NPPES registry since October 27, 2022.
## Identity
- **NPI:** 1447967682 (Entity type: Individual)
- **Enumerated:** October 27, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95021554 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 16723 VANOWEN ST, Lake Balboa, CA 91406-4638
- **Phone:** (818) 279-1745
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1447967682) · Data from the CMS NPPES public registry.