SCOTT YUNG KIM
NPI 1518008804
Dentist in Los Angeles, CA

Q: What is Scott Kim's NPI number?

The NPI number for Scott Kim is 1518008804. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Q: What is Scott Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Kim was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 09, 2007PECOS Enrolled

5427 WHITTIER BLVD, LOS ANGELES, CA 90022(323) 895-3007(323) 869-5427 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Scott Yung Kim NPPES

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

SCOTT YUNG KIM (NPI 1518008804) is an individual dentist in Los Angeles, California, licensed in New York (318268) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518008804

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameSCOTT YUNG KIM

Location Address5427 WHITTIER BLVDLos Angeles, CA 90022-4101

Mailing Address17 Durham DrDix Hills, NY 11746-5310 · (323) 895-3007 · Fax (323) 869-5427

Phone(323) 895-3007

Fax(323) 869-5427

Sole ProprietorYes

Enumeration DateFebruary 9, 2007

Last NPPES UpdateNovember 28, 2023

NPPES CertifiedNovember 28, 2023

✔ NPI 1518008804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 318268

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License A103509 (CA)

5427 WHITTIER BLVD, Los Angeles, CA 90022

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Yung 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.

Medicare Billing Reassignments

Medicare enrollment records show Scott Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harmony Health Care Long Island

2,462 mi

Federally Qualified Health Center (FQHC)

2150 HEMPSTEAD TPKE # 58C
Elmont, NY 11003

Reassigned Medicare billing, New York enrollment
107 clinicians in this Medicare group

NPI 1336669670 (516) 488-3434

Long Island Select Healthcare, Inc.

2,486 mi

Developmental Disabilities

250 MARCUS BLVD
Hauppauge, NY 11788

Reassigned Medicare billing, New York enrollment
70 clinicians in this Medicare group

NPI 1467805515 (631) 650-2510

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 90022 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

$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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims360 services$2.45 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims5,400 services$0.25 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MS. NORMA PEREZ MD

Pediatrics

5427 WHITTIER BLVD
LOS ANGELES, CA 90022

Los Angeles County (323) 869-1900

KENNETH JARANTILLA PA-C

Physician Assistant

5427 WHITTIER BLVD
LOS ANGELES, CA 90022

Los Angeles County (323) 869-1900

XIOMARA LIZZETTE VLAHOS M.D.

Family Medicine

5427 WHITTIER BLVD
LOS ANGELES, CA 90022

Los Angeles County (323) 869-1900

LEANNA KIMBERLY WONOPRABOWO MD

Family Medicine

5427 WHITTIER BLVD
LOS ANGELES, CA 90022

Los Angeles County (888) 499-9303

JON MANUEL AYALA

Counselor (Mental Health)

5427 WHITTIER BLVD
LOS ANGELES, CA 90022

Los Angeles County (888) 499-9303

ALTAMED HEALTH SERVICES CORP

Clinic/Center (Family Planning, Non-Surgical)

5427 WHITTIER BLVD
E. LOS ANGELES, CA 90022

Los Angeles County (323) 869-1900

SANKET PATEL DO

Family Medicine (Sports Medicine)

5427 WHITTIER BLVD
LOS ANGELES, CA 90022

Los Angeles County (888) 499-9303

JILLIAN MARIE JOHNSON

Social Worker (Clinical)

5427 WHITTIER BLVD
LOS ANGELES, CA 90022

Los Angeles County (323) 869-1900

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 Scott Kim's NPI number?

The NPI number for Scott Kim is 1518008804. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Scott Kim located?

Scott Kim practices at 5427 Whittier Blvd, Los Angeles, CA 90022. The listed phone number is (323) 895-3007.

What is Scott Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Scott Kim enrolled in Medicare?

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

Which organizations bill Medicare for Scott Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Kim reassigns Medicare benefits to 2 organizations: Harmony Health Care Long Island (Elmont, NY) and Long Island Select Healthcare, Inc. (Hauppauge, NY). Each 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 Scott 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 Scott Kim was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.