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PETER KIM MD
NPI 1750902003
Family Medicine in Los Angeles, CA

Active since April 28, 2020PECOS EnrolledAccepts Medicare Assignment
808 W 58TH ST, LOS ANGELES, CA 90037(323) 541-1600(323) 541-1661 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2023, Jun 15, 2021, May 6, 2020 (3 updates tracked since 2020).

About Peter Kim Md NPPES

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

PETER KIM MD (NPI 1750902003) is an individual family medicine provider in Los Angeles, California, licensed in California (A185019) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1750902003
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePETER KIMCredential: MD
Location Address808 W 58TH STLos Angeles, CA 90037-3632
Mailing Address3231 Euclid Ave Fl 5Berwyn, IL 60402-4603 · (708) 783-2000 · Fax (708) 783-3656
Phone(323) 541-1600
Fax(323) 541-1661
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 28, 2020
Last NPPES UpdateJune 20, 20233 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1750902003 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 · A185019
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.
808 W 58TH ST, Los Angeles, CA 90037
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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

Peter 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 ID6901216654
PECOS Enrollment IDI20231017002599
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 90037 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.

TAMMY SUE TOWNS APRN
Nurse Practitioner (Women's Health)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1400
DAVID K YOO NP
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1411
GABRIELLA OLOYE RN, FNP
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1141
KIMI YAMAMOTO
Dentist (Orofacial Pain)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 285-9830
DR. SAGHAR SABER M.D
Internal Medicine (Infectious Disease)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1411
INGEBORG WESTIEN MD
Pediatrics
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1600
KEISHA NERISE CONWRIGHT FNP
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1600
DR. DEANDRA NICHELLE TURNER D.D.S.
Dentist (Pediatric Dentistry)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1600

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 Peter Kim's NPI number?

The NPI number for Peter Kim is 1750902003. It was assigned to this individual provider in the NPPES registry on April 28, 2020.

Where is Peter Kim located?

Peter Kim practices at 808 W 58th St, Los Angeles, CA 90037. The listed phone number is (323) 541-1600.

What is Peter Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Peter Kim enrolled in Medicare?

Yes. Peter 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 Peter Kim was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.