DR. ALICE JEN KIM DPM
NPI 1730616145
Podiatrist in Camarillo, CA

Active since May 16, 2017PECOS Enrolled
79.74/100
CMS Quality Rating
450 ROSEWOOD AVE STE 104, CAMARILLO, CA 93010(805) 200-6994 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2025, Apr 7, 2023, Feb 16, 2023 and 3 more (6 updates tracked since 2017).

About Dr. Alice Jen Kim Dpm NPPES

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

DR. ALICE JEN KIM DPM (NPI 1730616145) is an individual podiatrist in Camarillo, California, licensed in California (E5637) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1730616145
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameDR. ALICE JEN KIMCredential: DPM
Location Address450 ROSEWOOD AVE STE 104Camarillo, CA 93010-5914
Mailing Address5016 Via CupertinoCamarillo, CA 93012-5240 · (805) 200-6994
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 16, 2017
Last NPPES UpdateMarch 28, 20256 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
NPI 1730616145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in CA · E5637
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
450 ROSEWOOD AVE STE 104, Camarillo, CA 93010

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Alice Jen Kim Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840615456
PECOS Enrollment IDI20200729003934
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 25

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.

Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
1,453 services675 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
1,436 services664 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
682 services365 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
455 services256 patients
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less 11305
This is a procedure where a small skin growth on the scalp, neck, hands, or feet, measuring 0.5 cm or less, is carefully removed. The process involves shaving off the growth layer by layer to ensure complete removal. It's a safe and common practice.
403 services165 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
387 services198 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93010 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.48
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
450 ROSEWOOD AVE STE 104
CAMARILLO, CA 93010

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 Alice Kim's NPI number?

The NPI number for Alice Kim is 1730616145. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Where is Alice Kim located?

Alice Kim practices at 450 Rosewood Ave Ste 104, Camarillo, CA 93010. The listed phone number is (805) 200-6994.

What is Alice Kim's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Alice Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alice Kim was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.