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DR. ALBERT KIM MD
NPI 1558063164
Pediatrics in La Habra, CA

Active since March 20, 2023PECOS Enrolled
1201 W WHITTIER BLVD FL 2, LA HABRA, CA 90631(562) 697-6030 Get Directions Write a Review

NPPES record last updated: August 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 29, 2026, Aug 15, 2026, Jul 24, 2026 and 2 more (5 updates tracked since 2023).

About Dr. Albert Kim Md NPPES

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

DR. ALBERT KIM MD (NPI 1558063164) is an individual pediatrics provider in La Habra, California, licensed in California (A197598) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1558063164
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ALBERT KIMCredential: MD
Location Address1201 W WHITTIER BLVD FL 2La Habra, CA 90631-3610
Mailing Address1201 W Whittier Blvd Fl 2La Habra, CA 90631-3610 · (562) 697-6030
Phone(562) 697-6030
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 20, 2023
Last NPPES UpdateAugust 29, 20265 updates tracked since enumeration
NPPES CertifiedAugust 29, 2026
✔ NPI 1558063164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A197598
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1201 W WHITTIER BLVD FL 2, La Habra, CA 90631
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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)

Dr. Albert Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224575709
PECOS Enrollment IDI20260811004310
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 Albert Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Medical Foundation
3.0 mi
Family Medicine
955 W IMPERIAL HWY STE 110
Brea, CA 92821
  • Reassigned Medicare billing, California enrollment
  • 1,699 clinicians in this Medicare group
NPI 1871607762 (714) 449-4900

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 90631 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.

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 Albert Kim's NPI number?

The NPI number for Albert Kim is 1558063164. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Albert Kim located?

Albert Kim practices at 1201 W Whittier Blvd Fl 2, La Habra, CA 90631. The listed phone number is (562) 697-6030.

What is Albert Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Albert Kim enrolled in Medicare?

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

Which organization bills Medicare for Albert Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Albert Kim reassigns Medicare benefits to Providence Medical Foundation (Brea, 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 Albert 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 Albert Kim was last updated on August 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.