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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MOONSUK KIM PA
NPI 1922983089
Physician Assistant in Los Angeles, CA

Active since August 07, 2025PECOS Enrolled
3727 W 6TH ST STE 200, LOS ANGELES, CA 90020(213) 235-2500 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Jan 15, 2026, Aug 7, 2025 (3 updates tracked since 2025).

About Moonsuk Kim Pa NPPES

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

MOONSUK KIM PA (NPI 1922983089) is an individual physician assistant in Los Angeles, California, licensed in California (PA68554) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1922983089
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMOONSUK KIMCredential: PA
Location Address3727 W 6TH ST STE 200Los Angeles, CA 90020-5108
Mailing Address3727 W 6th St Ste 200Los Angeles, CA 90020-5108
Phone(213) 235-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 7, 2025
Last NPPES UpdateJuly 28, 20263 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1922983089 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 · PA68554
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.
3727 W 6TH ST STE 200, Los Angeles, CA 90020
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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)

Moonsuk Kim Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224526454
PECOS Enrollment IDI20251021001547
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 90020 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 10

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

DR. IDA TUWATANANURAK D.O.
Family Medicine
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
ELENI ELIZA UZUNYAN MD
Student in an Organized Health Care Education/Training Program
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
KOREAN HEALTH EDUCATION INFORMATION AND RESEARCH CENTER
Clinic/Center (Primary Care)
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
MRS. ETHEL IHEDINANWA EMENOGU NP
Nurse Practitioner (Family)
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 427-4000
DR. KEVIN RIUTZEL MS, DO
Family Medicine
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
MS. YESENIA CHARLENE GONZALEZ PA-C
Physician Assistant
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
ALEXANDER LUIS INTERIANO MSN, APRN, NP
Nurse Practitioner
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
JESSICA SONG
Nurse Practitioner (Family)
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500

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 Moonsuk Kim's NPI number?

The NPI number for Moonsuk Kim is 1922983089. It was assigned to this individual provider in the NPPES registry on August 7, 2025.

Where is Moonsuk Kim located?

Moonsuk Kim practices at 3727 W 6th St Ste 200, Los Angeles, CA 90020. The listed phone number is (213) 235-2500.

What is Moonsuk Kim's specialty?

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

Is Moonsuk Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Moonsuk Kim was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.