PETER P J KIM DO
NPI 1922173871
Psychiatry & Neurology - Child & Adolescent Psychiatry in Norwalk, CA
About Peter P J Kim Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER P J KIM DO (NPI 1922173871) is an individual child & adolescent psychiatry provider in Norwalk, California, licensed in California (20A9617) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peter P J Kim Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Peter Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bellflower, CA 90706
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1396287082 (California)
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
NORWALK, CA 90650
NORWALK, CA 90650
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 1922173871. It was assigned to this individual provider in the NPPES registry on November 22, 2006.
Where is Peter Kim located?
Peter Kim practices at 12501 Imperial Hwy Suite 400, Norwalk, CA 90650. The listed phone number is (562) 807-6100.
What is Peter Kim's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Peter Kim enrolled in Medicare?
Yes. Peter Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Peter Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Bellflower, CA). The 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 Peter Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Peter Kim was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Peter P J Kim, DO · NPI 1922173871
Child & Adolescent Psychiatry physician in Norwalk, California. Individual provider, active in the CMS NPPES registry since November 22, 2006.
## Identity
- **NPI:** 1922173871 (Entity type: Individual)
- **Enumerated:** November 22, 2006
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 20A9617 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12501 IMPERIAL HWY, SUITE 400, Norwalk, CA 90650-3179
- **Phone:** (562) 807-6100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1043242555, Bellflower, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1922173871) · Data from the CMS NPPES public registry.