CHAN S KIM MD
NPI 1679513550
Family Medicine in Garden Grove, CA
About Chan S Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHAN S KIM MD (NPI 1679513550) is an individual family medicine provider in Garden Grove, California, licensed in California (A71667) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Un Of California, Irvine, College Of Medicine (1998).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Chan S 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.
Medicare Billing Reassignment
Medicare enrollment records show Chan Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fullerton, CA 92833
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
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 92840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GARDEN GROVE, CA 92840
GARDEN GROVE, CA 92840
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 Chan Kim's NPI number?
The NPI number for Chan Kim is 1679513550. It was assigned to this individual provider in the NPPES registry on June 7, 2006.
Where is Chan Kim located?
Chan Kim practices at 12100 Euclid St, Garden Grove, CA 92840. The listed phone number is (888) 988-2800.
What is Chan Kim's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Chan Kim enrolled in Medicare?
Yes. Chan 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.
Which organization bills Medicare for Chan Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chan Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Fullerton, 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 Chan Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Chan Kim was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Chan S Kim, MD · NPI 1679513550
Family Medicine physician in Garden Grove, California. Individual provider, active in the CMS NPPES registry since June 7, 2006.
## Identity
- **NPI:** 1679513550 (Entity type: Individual)
- **Enumerated:** June 7, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A71667 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12100 EUCLID ST, Garden Grove, CA 92840-3304
- **Phone:** (888) 988-2800 · **Fax:** (714) 741-3660
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1336556059, Fullerton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Un Of California, Irvine, College Of Medicine, class of 1998
## Record status
- **NPPES last updated:** May 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679513550) · Data from the CMS NPPES public registry.