PETER KIM MD INC
NPI 1760411946
Psychiatry & Neurology - Neurology in Simi Valley, CA
NPI Status: Active since July 01, 2006
Contact Information
1195 ROADRUNNER WAY
SIMI VALLEY, CA
ZIP 93065
Phone: (805) 579-8892
Fax: (805) 579-8951
- Organization
- Psychiatry & Neurology
- Neurology
About PETER KIM MD INC
This page provides the complete NPI Profile along with additional information for Peter Kim Md Inc, a provider established in Simi Valley, California operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1760411946 assigned on July 2006. The practitioner's primary taxonomy code is 2084N0400X with license number A67819 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. Peter Kim Md Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Peter K Kim M.d. (President)
- NPI
- 1760411946
- Provider Name
- PETER KIM MD INC
- Entity Type
- Organization
- Location Address
- 1195 ROADRUNNER WAY SIMI VALLEY, CA 93065
- Location Phone
- (805) 579-8892
- Location Fax
- (805) 579-8951
- Mailing Address
- 1195 ROADRUNNER WAY SIMI VALLEY, CA 93065
- Mailing Phone
- (805) 579-8892
- Mailing Fax
- (805) 579-8951
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-01-2006
- Last Update Date
- 02-12-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A67819
- License State
- CA
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084N0008X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | A67819 (CA) |
| 2 | 2084N0600X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | A67819 (CA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| A67819 | MEDICARE ID-TYPE UNSPECIFIED (04) | CA | |
| W20748 | MEDICARE PIN (08) | CA | |
| H42518 | MEDICARE UPIN (02) | CA | |
| 609916600 | OTHER (01) | CA | ACS FECA ID |
| 00A678190 | MEDICAID (05) | CA | |
| ZZZ50179Z | OTHER (01) | CA | BLUE SHIELD OF CA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 6 | 0 | 4 | 1 | 1 | 9 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 8 | 1 | 2 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 8 + 1 + 2 + 9 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1760411946 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
MR. PETER K. KIM M.D.
Psychiatry & Neurology
(Neurology)
1195 ROADRUNNER WAY
SIMI VALLEY, CA
ZIP 93065
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760411946, enumerated as an "organization" on July 01, 2006.
The provider is located at 1195 ROADRUNNER WAY SIMI VALLEY, CA 93065 and the phone number is (805) 579-8892.
Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
