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

Q: 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.

Q: What is Alice Kim's specialty?

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

Q: 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 19 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.

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: October 25, 2026.

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

On this page

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

Phone(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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Alice Kim reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

101 Foot And Ankle Inc.

Same address

Podiatrist

450 ROSEWOOD AVE STE 104
Camarillo, CA 93010

Reassigned Medicare billing, California enrollment

NPI 1043924335 (805) 200-6994

Foot And Ankle Alliance, Inc

25 mi

Foot & Ankle Surgery

23170 VENTURA BLVD
Woodland Hills, CA 91364

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1770751273 (818) 914-5686

Calabasas Podiatry Group

25 mi

Foot & Ankle Surgery

23164 VENTURA BLVD STE D
Woodland Hills, CA 91364

Reassigned Medicare billing, California enrollment
3 clinicians in this Medicare group

NPI 1992443436 (818) 914-5686

Cutting Edge Surgical Institute, Inc

25 mi

Ambulatory Surgical

23164 VENTURA BLVD
Woodland Hills, CA 91364

Reassigned Medicare billing, California enrollment
7 clinicians in this Medicare group

NPI 1720483662 (818) 456-6691

International Center For Minimally Invasive Foot Surgery

25 mi

Foot & Ankle Surgery

23164 VENTURA BLVD
Woodland Hills, CA 91364

Reassigned Medicare billing, California enrollment
6 clinicians in this Medicare group

NPI 1083074579 (818) 914-5686

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

256 services143 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

249 services168 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

183 services183 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

165 services102 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

136 services82 patients

Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99341

A new patient home visit is a brief, 20-minute appointment where a healthcare professional comes to your home. This visit is to understand your health needs, answer your queries, and plan your care. It's a convenient way to start your healthcare journey.

94 services94 patients

Removal of fingernails or toenails, 1-5 nails 11720

82 services75 patients

Trimming of dystrophic nails, any number G0127

82 services75 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

80 services80 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

65 services65 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

63 services18 patients

Complicated or multiple drainage of skin abscess 10061

This procedure involves draining one or more skin abscesses, which are pockets of pus that form due to an infection. The process includes making a small cut on the abscess, removing the pus, and cleaning the area to promote healing and prevent further infection.

53 services36 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

51 services38 patients

Removal of noncancer thickened skin growth, 1 growth 11055

47 services43 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

39 services18 patients

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

29 services29 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

22 services22 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

19 services19 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

15 services13 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

Quality

59.48

Improvement Activities

Other Providers at the Same Location NPPES

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

101 FOOT AND ANKLE INC.

Podiatrist

450 ROSEWOOD AVE STE 104
CAMARILLO, CA 93010

Ventura County (805) 200-6994

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.

Which organizations bill Medicare for Alice Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alice Kim reassigns Medicare benefits to 5 organizations: 101 Foot And Ankle Inc. (Camarillo, CA), Foot And Ankle Alliance, Inc (Woodland Hills, CA), Calabasas Podiatry Group (Woodland Hills, CA), Cutting Edge Surgical Institute, Inc (Woodland Hills, CA) and International Center For Minimally Invasive Foot Surgery (Woodland Hills, CA). Each 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 Alice 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 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 19 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.