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EVAN YUNG JIN KIM D.O.
NPI 1790175859
Family Medicine in Glendale, CA

Active since January 28, 2015PECOS EnrolledAccepts Medicare Assignment
801 S CHEVY CHASE DR STE 201, GLENDALE, CA 91205(818) 500-5586 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan Yung Jin Kim D.o. NPPES

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

EVAN YUNG JIN KIM D.O. (NPI 1790175859) is an individual family medicine provider in Glendale, California, licensed in California (20A13764) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1790175859
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEVAN YUNG JIN KIMCredential: D.O.
Location Address801 S CHEVY CHASE DR STE 201Glendale, CA 91205-4435
Mailing Address801 S Chevy Chase Dr Ste 201Glendale, CA 91205-4435
Phone(818) 500-5586
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 28, 2015
Last NPPES UpdateAugust 23, 2022
NPPES CertifiedAugust 23, 2022
✔ NPI 1790175859 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 · 20A13764
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.
801 S CHEVY CHASE DR STE 201, Glendale, CA 91205
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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

Evan Yung Jin Kim D.o. 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 ID9537461595
PECOS Enrollment IDI20160107001273
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.

Areas of Expertise CMS Part B claims 3

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.

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.
65 services59 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
16 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91205 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers21 claims40 services$4.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers18 claims18 services$0.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

STEPANYAN
General Acute Care Hospital
801 S CHEVY CHASE DR STE 201
GLENDALE, CA 91205
Los Angeles County (954) 675-3257
DR. KATHERINE KAMPE
Student in an Organized Health Care Education/Training Program
801 S CHEVY CHASE DR STE 201
GLENDALE, CA 91205
Los Angeles County (818) 500-5525
ANITA SAHAGIAN DO
Preventive Medicine (Addiction Medicine)
801 S CHEVY CHASE DR STE 201
GLENDALE, CA 91205
Los Angeles County (818) 500-5586
ARIS MELKONIAN MD
Internal Medicine (Hospice and Palliative Medicine)
801 S CHEVY CHASE DR STE 201
GLENDALE, CA 91205
Los Angeles County (818) 500-5535
LAURA SPANKO DO
Student in an Organized Health Care Education/Training Program
801 S CHEVY CHASE DR STE 201
GLENDALE, CA 91205
Los Angeles County (818) 500-5535
DR. VICTOR TIN DO
Family Medicine
801 S CHEVY CHASE DR STE 201
GLENDALE, CA 91205
Los Angeles County (818) 500-5535

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 Evan Kim's NPI number?

The NPI number for Evan Kim is 1790175859. It was assigned to this individual provider in the NPPES registry on January 28, 2015.

Where is Evan Kim located?

Evan Kim practices at 801 S Chevy Chase Dr Ste 201, Glendale, CA 91205. The listed phone number is (818) 500-5586.

What is Evan Kim's specialty?

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

Is Evan Kim enrolled in Medicare?

Yes. Evan 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 Evan Kim was last updated on August 23, 2022. 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.