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CERRITOS EYE MEDICAL CENTER, INC.
NPI 1598792889
Ophthalmology in Cerritos, CA

Active since June 26, 2006
11829 SOUTH ST, SUITE 202, CERRITOS, CA 90703(562) 402-4720(562) 402-9231 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cerritos Eye Medical Center, Inc. NPPES

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

CERRITOS EYE MEDICAL CENTER, INC. (NPI 1598792889) is a healthcare organization registered as an ophthalmology in Cerritos, California and active in the NPI registry since June 2006. The organization lists Tae Sun Kim, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1598792889
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameCERRITOS EYE MEDICAL CENTER, INC.
Location Address11829 SOUTH ST, SUITE 202Cerritos, CA 90703-6828
Mailing Address11829 South St, Suite 202Cerritos, CA 90703-6828 · (562) 402-4720 · Fax (562) 402-9231
Phone(562) 402-4720
Fax(562) 402-9231
Organization SubpartNo
Authorized OfficialTae Sun KimOwner/president · (562) 402-4720
Enumeration DateJune 26, 2006
Last NPPES UpdateNovember 15, 2007
✔ NPI 1598792889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in CA · G96402✔ Licensed in CA · A87753
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
11829 SOUTH ST, Cerritos, CA 90703
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Other Identifiers 7

Medicare UPINF96402CA
Medicaid00A877530CA
MedicaidGR0091370CA
OtherWA87753CCA · Medicare Ptan
Medicare UPINH66378CA
Medicare ID-Type UnspecifiedW15275CA
Medicare ID-Type UnspecifiedW15275ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cerritos Eye Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Cerritos Eye Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Tae Kim, M.D.
Ophthalmology
NPI 1366578049
11829 SOUTH ST SUITE 202
Cerritos, CA 90703
(562) 402-4720
✔ PECOS✔ Accepts MedicareSame address
Justin Park, MD
Ophthalmology
NPI 1780075416
2300 BUFFALO RD BLDG 700
Rochester, NY 14624
(585) 328-0153
✔ PECOS✔ Accepts Medicare2,256 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cerritos Eye Medical Center, Inc.'s NPI number?

The NPI number for Cerritos Eye Medical Center, Inc. is 1598792889. It was assigned to this organization in the NPPES registry on June 26, 2006.

Where is Cerritos Eye Medical Center, Inc. located?

Cerritos Eye Medical Center, Inc. is located at 11829 South St Suite 202, Cerritos, CA 90703. The listed phone number is (562) 402-4720.

What is Cerritos Eye Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Cerritos Eye Medical Center, Inc. enrolled in Medicare?

Yes. Cerritos Eye Medical Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cerritos Eye Medical Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Cerritos Eye Medical Center, Inc.. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cerritos Eye Medical Center, Inc. was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.