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PETER KIM MD INC
NPI 1760411946
Psychiatry & Neurology - Neurology in Simi Valley, CA

Active since July 01, 2006
1195 ROADRUNNER WAY, SIMI VALLEY, CA 93065(805) 579-8892(805) 579-8951 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peter Kim Md Inc NPPES

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

PETER KIM MD INC (NPI 1760411946) is a healthcare organization registered as a neurology in Simi Valley, California and active in the NPI registry since July 2006. The organization lists Peter K Kim, President, as its authorized official.

NPPES Registry Identity

NPI1760411946
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NamePETER KIM MD INC
Location Address1195 ROADRUNNER WAYSimi Valley, CA 93065-1210
Mailing Address1195 Roadrunner WaySimi Valley, CA 93065-0000 · (805) 579-8892 · Fax (805) 579-8951
Phone(805) 579-8892
Fax(805) 579-8951
Organization SubpartNo
Authorized OfficialPeter K KimPresident · (805) 579-8892
Enumeration DateJuly 1, 2006
Last NPPES UpdateFebruary 12, 2013
✔ NPI 1760411946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A67819
Definition
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.
Also ListedPsychiatry & Neurology · Neuromuscular MedicineTaxonomy 2084N0008X · License A67819 (CA)
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License A67819 (CA)
1195 ROADRUNNER WAY, Simi Valley, CA 93065
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Other Identifiers 6

Medicare ID-Type UnspecifiedA67819CA
Medicare PINW20748CA
Medicare UPINH42518CA
Other609916600CA · Acs Feca Id
Medicaid00A678190CA
OtherZZZ50179ZCA · Blue Shield Of Ca

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MR. PETER K. KIM M.D.
Psychiatry & Neurology (Neurology)
1195 ROADRUNNER WAY
SIMI VALLEY, CA 93065
Ventura County (805) 579-8892

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 MD Inc's NPI number?

The NPI number for Peter Kim MD Inc is 1760411946. It was assigned to this organization in the NPPES registry on July 1, 2006.

Where is Peter Kim MD Inc located?

Peter Kim MD Inc is located at 1195 Roadrunner Way, Simi Valley, CA 93065. The listed phone number is (805) 579-8892.

What is Peter Kim MD Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Peter Kim MD Inc was last updated on February 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.