DR. EMMA Y. KIM D.M.D.
NPI 1578631503
Dentist in Pacific Palisades, CA

Q: What is Emma Kim's NPI number?

The NPI number for Emma Kim is 1578631503. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Emma 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 Emma Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 30, 2006PECOS Enrolled

984 MONUMENT ST STE 202, PACIFIC PALISADES, CA 90272(310) 454-4316(310) 454-3168 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Emma Y. Kim D.m.d. NPPES

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

DR. EMMA Y. KIM D.M.D. (NPI 1578631503) is an individual dentist in Pacific Palisades, California, licensed in California (43994) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578631503

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. EMMA Y. KIMCredential: D.M.D.

Location Address984 MONUMENT ST STE 202Pacific Palisades, CA 90272-3859

Mailing Address984 Monument St Ste 202Pacific Palisades, CA 90272-3859 · (310) 454-4316 · Fax (310) 454-3168

Phone(310) 454-4316

Fax(310) 454-3168

Sole ProprietorYes

Enumeration DateNovember 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1578631503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 43994

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.

984 MONUMENT ST STE 202, Pacific Palisades, CA 90272

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emma Y. Kim D.m.d. 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 Emma Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gaminchi And Kim Dental Corporation

32 mi

General Practice

15651 IMPERIAL HWY STE 105
La Mirada, CA 90638

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1962549519 (562) 944-4745

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 90272 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 Emma Kim's NPI number?

The NPI number for Emma Kim is 1578631503. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Emma Kim located?

Emma Kim practices at 984 Monument St Ste 202, Pacific Palisades, CA 90272. The listed phone number is (310) 454-4316.

What is Emma Kim's specialty?

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

Is Emma Kim enrolled in Medicare?

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

Which organization bills Medicare for Emma Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emma Kim reassigns Medicare benefits to Gaminchi And Kim Dental Corporation (La Mirada, 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 Emma Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emma Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Emma Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emma Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.