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BOMI KIM PA
NPI 1871158527
Physician Assistant in Los Angeles, CA

Active since May 08, 2019PECOS Enrolled
1234 WILSHIRE BLVD APT 335, LOS ANGELES, CA 90017(213) 222-7255 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bomi Kim Pa NPPES

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

BOMI KIM PA (NPI 1871158527) is an individual physician assistant in Los Angeles, California, licensed in California (PA57376) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871158527
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBOMI KIMCredential: PA
Location Address1234 WILSHIRE BLVD APT 335Los Angeles, CA 90017-1979
Mailing Address1234 Wilshire Blvd Apt 335Los Angeles, CA 90017-1979 · (213) 222-7255
Phone(213) 222-7255
Sole ProprietorYes
Enumeration DateMay 8, 2019
Last NPPES UpdateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1871158527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA57376
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1234 WILSHIRE BLVD APT 335, Los Angeles, CA 90017
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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 (PECOS)

Bomi Kim Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90017 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Bomi Kim's NPI number?

The NPI number for Bomi Kim is 1871158527. It was assigned to this individual provider in the NPPES registry on May 8, 2019.

Where is Bomi Kim located?

Bomi Kim practices at 1234 Wilshire Blvd Apt 335, Los Angeles, CA 90017. The listed phone number is (213) 222-7255.

What is Bomi Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bomi Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bomi Kim was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.