1. Home
  2. Directory
  3. California
  4. La Crescenta
  5. Physician Assistant
  6. NPI Profile

ALICE HAE LEE KIM PA-C
NPI 1548758618
Physician Assistant in La Crescenta, CA

Active since April 24, 2018PECOS Enrolled
2843 PIEDMONT AVE, LA CRESCENTA, CA 91214(818) 649-4872 Get Directions Write a Review

NPPES record last updated: October 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alice Hae Lee Kim Pa-c NPPES

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

ALICE HAE LEE KIM PA-C (NPI 1548758618) is an individual physician assistant in La Crescenta, California and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548758618
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALICE HAE LEE KIMCredential: PA-C
Location Address2843 PIEDMONT AVELa Crescenta, CA 91214-3836
Mailing Address2843 Piedmont AveLa Crescenta, CA 91214-3836 · (818) 649-4872
Phone(818) 649-4872
Sole ProprietorNo
Enumeration DateApril 24, 2018
Last NPPES UpdateOctober 19, 2024
NPPES CertifiedOctober 19, 2024
✔ NPI 1548758618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2843 PIEDMONT AVE, La Crescenta, CA 91214
Open in Google Maps ↗

Other Names 1

Former Name (1)Alice Hae Lee Yoon

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alice Hae Lee 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91214 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.

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 Alice Kim's NPI number?

The NPI number for Alice Kim is 1548758618. It was assigned to this individual provider in the NPPES registry on April 24, 2018. The provider is also known as Alice Hae Lee Yoon.

Where is Alice Kim located?

Alice Kim practices at 2843 Piedmont Ave, La Crescenta, CA 91214. The listed phone number is (818) 649-4872.

What is Alice Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alice Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alice Kim was last updated on October 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.