ANNE KIM PA-C
NPI 1487054110
Physician Assistant - Medical in Glendale, AZ

Q: What is Anne Kim's NPI number?

The NPI number for Anne Kim is 1487054110. It was assigned to this individual provider in the NPPES registry on August 29, 2014.

Q: What is Anne Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Anne Kim was last updated on April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 29, 2014PECOS Enrolled

15236 N 59TH AVE, GLENDALE, AZ 85306(602) 337-8356(602) 337-8364 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2017, Mar 28, 2016 (2 updates tracked since 2016).

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About Anne Kim Pa-c NPPES

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

ANNE KIM PA-C (NPI 1487054110) is an individual medical provider in Glendale, Arizona and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487054110

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameANNE KIMCredential: PA-C

Location Address15236 N 59TH AVEGlendale, AZ 85306-3206

Mailing Address15236 N 59th AveGlendale, AZ 85306-3206 · (602) 337-8356 · Fax (602) 337-8364

Phone(602) 337-8356

Fax(602) 337-8364

Sole ProprietorYes

Enumeration DateAugust 29, 2014

Last NPPES UpdateApril 25, 20172 updates tracked since enumeration

✔ NPI 1487054110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

15236 N 59TH AVE, Glendale, AZ 85306

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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)

Anne Kim Pa-c 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

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

OCCUPATIONAL AND URGENT CARE HEALTHCENTERS, LLC

Clinic/Center (Urgent Care)

15236 N 59TH AVE
GLENDALE, AZ 85306

Maricopa County (602) 272-1162

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 Anne Kim's NPI number?

The NPI number for Anne Kim is 1487054110. It was assigned to this individual provider in the NPPES registry on August 29, 2014.

Where is Anne Kim located?

Anne Kim practices at 15236 N 59th Ave, Glendale, AZ 85306. The listed phone number is (602) 337-8356.

What is Anne Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Anne Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Anne Kim was last updated on April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.