PURPOSE DRIVEN MOBILE PHYSICIAN
NPI 1871365320
Family Medicine - Adult Medicine in Los Angeles, CA

Active since October 27, 2023
4221 WILSHIRE BLVD STE 170-8, LOS ANGELES, CA 90010(818) 646-7203 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Purpose Driven Mobile Physician NPPES

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

PURPOSE DRIVEN MOBILE PHYSICIAN (NPI 1871365320) is a healthcare organization registered as an adult medicine in Los Angeles, California and active in the NPI registry since October 2023. The organization lists Philip Kim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871365320
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NamePURPOSE DRIVEN MOBILE PHYSICIAN
Location Address4221 WILSHIRE BLVD STE 170-8Los Angeles, CA 90010-3519
Mailing Address4221 Wilshire Blvd Ste 170-8Los Angeles, CA 90010-3519
Organization SubpartNo
Authorized OfficialPhilip KimCeo · (213) 598-4947
Enumeration DateOctober 27, 2023
NPPES CertifiedOctober 27, 2023
✔ NPI 1871365320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
4221 WILSHIRE BLVD STE 170-8, Los Angeles, CA 90010

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Purpose Driven Mobile Physician is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Purpose Driven Mobile Physician, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1376913319
919 S WILTON PL APT 3
Los Angeles, CA 90019
(213) 605-0524
✔ PECOS0.5 mi
Nurse Practitioner
NPI 1811376056
121 S MOUNTAIN VIEW AVE
Los Angeles, CA 90057
(833) 883-2889
✔ PECOS✔ Accepts Medicare2.8 mi
Internal Medicine
NPI 1063400745
12610 S WESTERN AVE
Los Angeles, CA 90047
(323) 757-1853
✔ PECOS✔ Accepts Medicare9.9 mi
Nurse Practitioner
NPI 1811407331
2216 ANACAPA
Irvine, CA 92602
(213) 910-6760
✔ PECOS✔ Accepts Medicare39 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Purpose Driven Mobile Physician's NPI number?

The NPI number for Purpose Driven Mobile Physician is 1871365320. It was assigned to this organization in the NPPES registry on October 27, 2023.

Where is Purpose Driven Mobile Physician located?

Purpose Driven Mobile Physician is located at 4221 Wilshire Blvd Ste 170-8, Los Angeles, CA 90010. The listed phone number is (818) 646-7203.

What is Purpose Driven Mobile Physician's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Purpose Driven Mobile Physician enrolled in Medicare?

Yes. Purpose Driven Mobile Physician is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Purpose Driven Mobile Physician?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Purpose Driven Mobile Physician. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Purpose Driven Mobile Physician was last updated on October 27, 2023. 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.