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CHAN S KIM MD
NPI 1679513550
Family Medicine in Garden Grove, CA

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
12100 EUCLID ST, GARDEN GROVE, CA 92840(888) 988-2800(714) 741-3660 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2026, Dec 6, 2021 (2 updates tracked since 2021).

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

NPI1679513550
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHAN S KIMCredential: MD
Location Address12100 EUCLID STGarden Grove, CA 92840-3304
Mailing Address12100 Euclid StGarden Grove, CA 92840-3304 · (888) 988-2800 · Fax (714) 741-3660
Phone(888) 988-2800
Fax(714) 741-3660
Sole ProprietorNo
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 1998
Enumeration DateJune 7, 2006
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1679513550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A71667
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12100 EUCLID ST, Garden Grove, CA 92840
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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

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.

PECOS PAC ID3375563372
PECOS Enrollment IDI20051206000565
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 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.

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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. ADRIANA CERVANTES LONGO M.D.
Internal Medicine
12100 EUCLID ST, 3RD FLOOR
GARDEN GROVE, CA 92840
Orange County (714) 741-3685
MICHELLE SUH
Pharmacist
12100 EUCLID ST
GARDEN GROVE, CA 92840
Orange County (714) 741-3430
CHRISTINE ATALLA
Pharmacist
12100 EUCLID ST
GARDEN GROVE, CA 92840
Orange County (714) 741-3430
GRESHAWNDA CRAYTON RN, FNP-BC, PHN
Registered Nurse
12100 EUCLID ST
GARDEN GROVE, CA 92840
Orange County (714) 741-3516
DR. LAUREN RUBAL M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
12100 EUCLID ST
GARDEN GROVE, CA 92840
Orange County (888) 988-2800
KELLY YING LIN M.D.
Specialist
12100 EUCLID ST
GARDEN GROVE, CA 92840
Orange County (888) 988-2800
MARY CATHERINE WASHBURN M.D.
Obstetrics & Gynecology
12100 EUCLID ST
GARDEN GROVE, CA 92840
Orange County (714) 887-9933
DR. NANCY LEE-HATA MD
Family Medicine
12100 EUCLID ST
GARDEN GROVE, CA 92840
Orange County (714) 741-3665

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.

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 2 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.