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RHODORA ESTACIO KIM MD
NPI 1750309365
Pediatrics in Northridge, CA

Active since July 18, 2006PECOS Enrolled
18460 ROSCOE BLVD, NORTHRIDGE, CA 91325(818) 837-5790(818) 998-2506 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rhodora Estacio Kim Md NPPES

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

RHODORA ESTACIO KIM MD (NPI 1750309365) is an individual pediatrics provider in Northridge, California, licensed in California (A71519) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750309365
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameRHODORA ESTACIO KIMCredential: MD
Location Address18460 ROSCOE BLVDNorthridge, CA 91325-4107
Mailing AddressPo Box 9602Mission Hills, CA 91346-9602 · (818) 837-5691 · Fax (818) 792-4793
Phone(818) 837-5790
Fax(818) 998-2506
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateApril 15, 2021
NPPES CertifiedApril 15, 2021
✔ NPI 1750309365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A71519
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
18460 ROSCOE BLVD, Northridge, CA 91325
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Other Identifiers 1

Medicaid00A715190CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rhodora Estacio Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Rhodora Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Facey Medical Foundation
13 mi
Internal Medicine
26357 MCBEAN PKWY
Valencia, CA 91355
  • Reassigned Medicare billing, California enrollment
  • 684 clinicians in this Medicare group
NPI 1710031588 (661) 222-2600

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 91325 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.

VAHE MOORADIAN MD.
Family Medicine
18460 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 734-3625
LOUIS JIORGIO CARANAY VILLEGAS MD
Student in an Organized Health Care Education/Training Program
18460 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-5480
DR. DONIA JAVIDI DO
Student in an Organized Health Care Education/Training Program
18460 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-5480
RAE GODWIN DO
Student in an Organized Health Care Education/Training Program
18460 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-5480
STEVEN PRADO MD
Student in an Organized Health Care Education/Training Program
18460 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-5480
FAUSTO SANTIAGO CORDERO MD
Family Medicine
18460 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 734-3610
SHANNEN MANUEL GUARINA MD
Student in an Organized Health Care Education/Training Program
18460 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-5480
DANIEL LAWRENCE QUAN D.O.
Student in an Organized Health Care Education/Training Program
18460 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (903) 731-1104

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 Rhodora Kim's NPI number?

The NPI number for Rhodora Kim is 1750309365. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Rhodora Kim located?

Rhodora Kim practices at 18460 Roscoe Blvd, Northridge, CA 91325. The listed phone number is (818) 837-5790.

What is Rhodora Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Rhodora Kim enrolled in Medicare?

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

Which organization bills Medicare for Rhodora Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rhodora Kim reassigns Medicare benefits to Providence Facey Medical Foundation (Valencia, 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 Rhodora 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 Rhodora Kim was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.