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KYU SEO KIM
NPI 1467985994
Pediatrics - Pediatric Critical Care Medicine in Fountain Valley, CA

Active since April 11, 2017PECOS Enrolled
17100 EUCLID ST., PICU DEPT., FOUNTAIN VALLEY, CA 92708(714) 966-7253(714) 966-3354 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 12, 2023, Aug 9, 2021, Apr 11, 2017 (3 updates tracked since 2017).

About Kyu Seo Kim NPPES

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

KYU SEO KIM (NPI 1467985994) is an individual pediatric critical care medicine provider in Fountain Valley, California, licensed in California (A157291) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467985994
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameKYU SEO KIM
Location Address17100 EUCLID ST., PICU DEPT.Fountain Valley, CA 92708
Mailing Address17100 Euclid St., Picu Dept.Fountain Valley, CA 92708 · (714) 966-7253 · Fax (714) 966-3354
Phone(714) 966-7253
Fax(714) 966-3354
Sole ProprietorNo
Enumeration DateApril 11, 2017
Last NPPES UpdateJuly 23, 20253 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1467985994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in CA · A157291✔ Licensed in OR · MD214632
Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License MD214632 (OR), A157291 (CA)
17100 EUCLID ST., Fountain Valley, CA 92708
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyu Seo 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.

Other Providers at the Same Location NPPES 3

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

ZACHARIA REDA M.D.
Pediatrics (Pediatric Pulmonology)
17100 EUCLID ST., PICU
FOUNTAIN VALLEY, CA 92708
Orange County (714) 966-7253
DR. WILLIAM G. PERKINS M.D.
Pediatrics (Pediatric Critical Care Medicine)
17100 EUCLID ST., PICU
FOUNTAIN VALLEY, CA 92708
Orange County (714) 966-7253
KENNETH KIM M.D
Pediatrics (Pediatric Critical Care Medicine)
17100 EUCLID ST., PICU
FOUNTAIN VALLEY, CA 92708
Orange County (714) 966-7253

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 Kyu Seo Kim's NPI number?

The NPI number for Kyu Seo Kim is 1467985994. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Kyu Seo Kim located?

Kyu Seo Kim practices at 17100 Euclid St. Picu Dept., Fountain Valley, CA 92708. The listed phone number is (714) 966-7253.

What is Kyu Seo Kim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Kyu Seo Kim enrolled in Medicare?

Yes. Kyu Seo Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyu Seo Kim was last updated on July 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.