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DR. DAVID S KIM MD
NPI 1528059607
Family Medicine in Long Beach, CA

Active since October 28, 2005PECOS Enrolled
2110 N BELLFLOWER BLVD, LONG BEACH, CA 90815(562) 346-2222 Get Directions Write a Review

NPPES record last updated: January 12, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. David S Kim Md NPPES

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

DR. DAVID S KIM MD (NPI 1528059607) is an individual family medicine provider in Long Beach, California, licensed in California (A87971) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528059607
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DAVID S KIMCredential: MD
Location Address2110 N BELLFLOWER BLVDLong Beach, CA 90815-3126
Mailing Address17360 Brookhurst St, Attn: Mcmf Credentialing DepartmentFountain Valley, CA 92708-3720
Phone(562) 346-2222
Sole ProprietorNo
Enumeration DateOctober 28, 2005
Last NPPES UpdateJanuary 12, 2016
✔ NPI 1528059607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A87971
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2110 N BELLFLOWER BLVD, Long Beach, CA 90815
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Other Identifiers 3

Medicare UPINI29675CA
Medicaid00A879710CA
Medicare PINEO354ZCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David S Kim Md 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 Reassignment

Medicare enrollment records show David Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Medical Foundation
12 mi
Family Medicine
200 W CENTER STREET PROMENADE
Anaheim, CA 92805
  • Reassigned Medicare billing, California enrollment
  • 1,699 clinicians in this Medicare group
NPI 1639715709 (147) 123-5007

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 90815 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 20

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

DR. SUPARNA BEGUM BARBER
Pediatrics
2110 N BELLFLOWER BLVD
LONG BEACH, CA 90815
Los Angeles County (562) 346-2222
AZEB YIHUNE MD
Family Medicine
2110 N BELLFLOWER BLVD
LONG BEACH, CA 90815
Los Angeles County (562) 346-2222
ELIZABETH ORNELAS NP
Nurse Practitioner (Family)
2110 N BELLFLOWER BLVD
LONG BEACH, CA 90815
Los Angeles County (562) 346-2222
AMY NI M.D.
Family Medicine
2110 N BELLFLOWER BLVD
LONG BEACH, CA 90815
Los Angeles County (562) 346-2222
DR. ANDREW DAEDLER MD, MAUB
Family Medicine
2110 N BELLFLOWER BLVD
LONG BEACH, CA 90815
Los Angeles County (562) 346-2222
MRS. CAROL ROSE VASQUEZ FNP
Nurse Practitioner (Family)
2110 N BELLFLOWER BLVD
LONG BEACH, CA 90815
Los Angeles County (562) 346-2222
DR. TARA M SCOTT M.D.
Family Medicine
2110 N BELLFLOWER BLVD
LONG BEACH, CA 90815
Los Angeles County (562) 346-2222
ELIZABETH THERESE TIRPAK FNP
Nurse Practitioner (Family)
2110 N BELLFLOWER BLVD
LONG BEACH, CA 90815
Los Angeles County (562) 346-2222

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 1528059607. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is David Kim located?

David Kim practices at 2110 N Bellflower Blvd, Long Beach, CA 90815. The listed phone number is (562) 346-2222.

What is David Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Kim enrolled in Medicare?

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

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 Providence Medical Foundation (Anaheim, 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 January 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.