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DR. PETER SIMON KIM DPM, MS
NPI 1821257528
Podiatrist - Foot & Ankle Surgery in Los Angeles, CA

Active since June 06, 2008PECOS Enrolled
5220 PACIFIC CONCOURSE DR, STE 120, LOS ANGELES, CA 90045(310) 228-0396(888) 492-2900 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Jun 28, 2017 (2 updates tracked since 2017).

About Dr. Peter Simon Kim Dpm, Ms NPPES

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

DR. PETER SIMON KIM DPM, MS (NPI 1821257528) is an individual foot & ankle surgery provider in Los Angeles, California, licensed in California (E4672) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821257528
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. PETER SIMON KIMCredential: DPM, MS
Location Address5220 PACIFIC CONCOURSE DR, STE 120Los Angeles, CA 90045-6244
Mailing AddressPo Box 3156Torrance, CA 90510-3156 · (310) 228-0396 · Fax (310) 530-1595
Phone(310) 228-0396
Fax(888) 492-2900
Sole ProprietorNo
Enumeration DateJune 6, 2008
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1821257528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E4672
5220 PACIFIC CONCOURSE DR, Los Angeles, CA 90045
Open in Google Maps ↗

Other Identifiers 1

OtherE4672CA · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter Simon Kim Dpm, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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

FULBRIGHT DENTAL GROUP, PC
Dentist (General Practice)
5220 PACIFIC CONCOURSE DR, SUITE #120
LOS ANGELES, CA 90045
Los Angeles County (800) 373-5400
ANUVEER SAHOTA DPM
Podiatrist
5220 PACIFIC CONCOURSE DR
LOS ANGELES, CA 90045
Los Angeles County (800) 373-5400

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 1821257528. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Peter Kim located?

Peter Kim practices at 5220 Pacific Concourse Dr Ste 120, Los Angeles, CA 90045. The listed phone number is (310) 228-0396.

What is Peter Kim's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Peter Kim enrolled in Medicare?

Yes. Peter Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Kim was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.