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JOHNNY M KIM MD
NPI 1659803617
Student in an Organized Health Care Education/Training Program in Garden Grove, CA

Active since March 29, 2017PECOS EnrolledAccepts Medicare Assignment
6772 PARK AVE, GARDEN GROVE, CA 92845(714) 615-7438 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 27, 2023, Mar 29, 2017 (2 updates tracked since 2017).

About Johnny M Kim Md NPPES

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

JOHNNY M KIM MD (NPI 1659803617) is an individual student in an organized health care education/training program in Garden Grove, California and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2017).

NPPES Registry Identity

NPI1659803617
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHNNY M KIMCredential: MD
Location Address6772 PARK AVEGarden Grove, CA 92845-2928
Mailing Address6772 Park AveGarden Grove, CA 92845-2928 · (714) 615-7438
Phone(714) 615-7438
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2017
Enumeration DateMarch 29, 2017
Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration
✔ NPI 1659803617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
6772 PARK AVE, Garden Grove, CA 92845
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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 and accepts Medicare assignment

Johnny M Kim Md 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 ID3274863691
PECOS Enrollment IDI20231030000730
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 3

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
49 services29 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
16 services15 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
13 services13 patients

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 Johnny Kim's NPI number?

The NPI number for Johnny Kim is 1659803617. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Johnny Kim located?

Johnny Kim practices at 6772 Park Ave, Garden Grove, CA 92845. The listed phone number is (714) 615-7438.

What is Johnny 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 Johnny Kim enrolled in Medicare?

Yes. Johnny 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 Johnny Kim was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.