DIANA KIM
NPI 1609283746
Student in an Organized Health Care Education/Training Program in Panorama City, CA

Active since July 21, 2014PECOS EnrolledAccepts Medicare Assignment
13652 CANTARA ST, PANORAMA CITY, CA 91402(888) 778-5000 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2021, Jul 26, 2018 (2 updates tracked since 2018).

About Diana Kim NPPES

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

DIANA KIM (NPI 1609283746) is an individual student in an organized health care education/training program in Panorama City, California and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Torrance, and is a graduate of Loma Linda University School Of Medicine (2014).

NPPES Registry Identity

NPI1609283746
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDIANA KIM
Location Address13652 CANTARA STPanorama City, CA 91402-5423
Mailing Address13652 Cantara StPanorama City, CA 91402-5423
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2014
Enumeration DateJuly 21, 2014
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPI 1609283746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

13652 CANTARA ST, Panorama City, CA 91402

Secondary Practice Location 1

Location 11000 W Carson StTorrance, CA 90502-2004 · Phone (310) 222-2345

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Diana Kim is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527308642
PECOS Enrollment IDI20190327000535
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
12 services12 patients

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.

Pharmacist
13652 CANTARA ST, INPATIENT PHARMACY
PANORAMA CITY, CA 91402
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA 91402
Psychiatry & Neurology (Psychiatry)
13652 CANTARA ST
PANORAMA CITY, CA 91402
Internal Medicine
13652 CANTARA ST
PANORAMA CITY, CA 91402
Dietitian, Registered
13652 CANTARA ST, PANORAMA CITY
PANORAMA CITY, CA 91402
Pharmacist
13652 CANTARA ST
PANORAMA CITY, CA 91402
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA 91402
Family Medicine
13652 CANTARA ST
PANORAMA CITY, CA 91402

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 Diana Kim's NPI number?

The NPI number for Diana Kim is 1609283746. It was assigned to this individual provider in the NPPES registry on July 21, 2014.

Where is Diana Kim located?

Diana Kim practices at 13652 Cantara St, Panorama City, CA 91402. The listed phone number is (888) 778-5000.

What is Diana Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Diana Kim enrolled in Medicare?

Yes. Diana Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Diana Kim was last updated on December 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.