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KIRSTEN M KIM PA-C
NPI 1629403647
Physician Assistant in Fountain Valley, CA

Active since September 10, 2013PECOS Enrolled
11190 WARNER AVE STE 307, FOUNTAIN VALLEY, CA 92708(714) 434-3518 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2026, Jan 17, 2018, Mar 15, 2017 (3 updates tracked since 2017).

About Kirsten M Kim Pa-c NPPES

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

KIRSTEN M KIM PA-C (NPI 1629403647) is an individual physician assistant in Fountain Valley, California, licensed in California (53423) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629403647
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIRSTEN M KIMCredential: PA-C
Location Address11190 WARNER AVE STE 307Fountain Valley, CA 92708-4047
Mailing Address11190 Warner Ave Ste 307Fountain Valley, CA 92708-4047 · (714) 434-3518
Phone(714) 434-3518
Sole ProprietorNo
Enumeration DateSeptember 10, 2013
Last NPPES UpdateApril 23, 20263 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1629403647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 53423
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.
11190 WARNER AVE STE 307, Fountain Valley, CA 92708
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kirsten M 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 92708 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 Kirsten Kim's NPI number?

The NPI number for Kirsten Kim is 1629403647. It was assigned to this individual provider in the NPPES registry on September 10, 2013.

Where is Kirsten Kim located?

Kirsten Kim practices at 11190 Warner Ave Ste 307, Fountain Valley, CA 92708. The listed phone number is (714) 434-3518.

What is Kirsten Kim's specialty?

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

Is Kirsten Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kirsten Kim was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.