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MR. DAVID Y KIM PA-C
NPI 1922035948
Physician Assistant in Glendora, CA

Active since June 26, 2006PECOS Enrolled
1365 S GRAND AVE, GLENDORA, CA 91740(626) 857-2580 Get Directions Write a Review

NPPES record last updated: March 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. David Y Kim Pa-c NPPES

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

MR. DAVID Y KIM PA-C (NPI 1922035948) is an individual physician assistant in Glendora, California, licensed in California (PA17440) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922035948
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DAVID Y KIMCredential: PA-C
Location Address1365 S GRAND AVEGlendora, CA 91740-5047
Mailing Address1365 S Grand AveGlendora, CA 91740-5047 · (626) 857-2580
Phone(626) 857-2580
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateMarch 10, 2014
✔ NPI 1922035948 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 · PA17440
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.
1365 S GRAND AVE, Glendora, CA 91740
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Other Identifiers 3

Medicare UPINQ44428CA
Medicare PINWPA17440FCA
Medicare PINWPA17440GCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Y Kim Pa-c 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 91740 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.

Other Providers at the Same Location NPPES 4

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

LINA MARCELA RIOS RESTREPO FNP
Nurse Practitioner
1365 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 857-2580
MISS ELIZABETH SORIA-PALACIOS PA-C
Physician Assistant (Medical)
1365 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 857-2580
MR. DAVID ABOVIAN PA
Physician Assistant
1365 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 857-2580
BRYAN WU
Physician Assistant
1365 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 857-2580

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 David Kim's NPI number?

The NPI number for David Kim is 1922035948. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is David Kim located?

David Kim practices at 1365 S Grand Ave, Glendora, CA 91740. The listed phone number is (626) 857-2580.

What is David Kim's specialty?

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

Is David Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for David Kim was last updated on March 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.