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ALYSSA GRACE KIM
NPI 1790363307
Anesthesiology in West Hollywood, CA

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048(310) 423-5841 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Apr 2, 2021 (2 updates tracked since 2021).

About Alyssa Grace Kim NPPES

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

ALYSSA GRACE KIM (NPI 1790363307) is an individual anesthesiology provider in West Hollywood, California, licensed in California (A198358) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Loma Linda, and is a graduate of Boston University School Of Medicine (2021).

NPPES Registry Identity

NPI1790363307
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameALYSSA GRACE KIM
Location Address8700 BEVERLY BLVDWest Hollywood, CA 90048-1804
Mailing Address11234 Anderson Street, Gme Office Westerly Suite 'c'Loma Linda, CA 92354
Phone(310) 423-5841
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2021
Enumeration DateApril 2, 2021
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1790363307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A198358
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8700 BEVERLY BLVD, West Hollywood, CA 90048
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Secondary Practice Location 1

Location 111234 Anderson StLoma Linda, CA 92354-2804 · Phone (909) 558-4015

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

Alyssa Grace Kim 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 ID4587171673
PECOS Enrollment IDI20250724001756
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.

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.

DR. BERNICE LOUISE COLEMAN PH.D, ACNP-BC
Nurse Practitioner (Acute Care)
8700 BEVERLY BLVD, NORTH TOWER ROOM 6215
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-6178
DR. INGRID LEAH DOMBROWER M.D.
Psychiatry & Neurology (Psychiatry)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-2871
ELAINE WITTERT MSW
Social Worker (Clinical)
8700 BEVERLY BLVD, SUITE AC1002
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-3119
DR. KENAN MOHAMMED NADAR D.O.
Pediatrics
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-4451
HAE YOON GRACE CHOUNG MD
Pathology (Anatomic Pathology & Clinical Pathology)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-6623
CASEY DISTASO MD
Emergency Medicine
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-8780
CHIARA CASAS NP
Nurse Practitioner (Pediatrics)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-3277
PHILIP CHENG MD
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-1682

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 Alyssa Kim's NPI number?

The NPI number for Alyssa Kim is 1790363307. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Alyssa Kim located?

Alyssa Kim practices at 8700 Beverly Blvd, West Hollywood, CA 90048. The listed phone number is (310) 423-5841.

What is Alyssa Kim's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Alyssa Kim enrolled in Medicare?

Yes. Alyssa 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 Alyssa Kim was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.