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DR. KAIDI HE KIM MD
NPI 1952763054
Pediatrics in Garden Grove, CA

Active since March 28, 2016PECOS Enrolled
12751 HARBOR BLVD, GARDEN GROVE, CA 92840(888) 499-9303(323) 201-3207 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 9, 2024, Nov 6, 2023, Apr 12, 2022 and 2 more (5 updates tracked since 2016).

About Dr. Kaidi He Kim Md NPPES

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

DR. KAIDI HE KIM MD (NPI 1952763054) is an individual pediatrics provider in Garden Grove, California, licensed in California (A154409) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952763054
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KAIDI HE KIMCredential: MD
Location Address12751 HARBOR BLVDGarden Grove, CA 92840-5800
Mailing Address12751 Harbor BlvdGarden Grove, CA 92840-5800 · (888) 499-9303 · Fax (323) 201-3207
Phone(888) 499-9303
Fax(323) 201-3207
Sole ProprietorNo
Enumeration DateMarch 28, 2016
Last NPPES UpdateMay 9, 20245 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1952763054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A154409
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12751 HARBOR BLVD, Garden Grove, CA 92840
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Other Names 1

Former Name (1)Dr. Kaidi He Md

Secondary Practice Locations 2

Location 1114 Pacifica Ste 340Irvine, CA 92618-3329 · Phone (949) 331-1445 · Fax (949) 331-1445
Location 2505 S Main St Ste 525Orange, CA 92868-4553 · Phone (714) 456-5631 · Fax (714) 285-0389

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kaidi He Kim Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Kaidi Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
7.3 mi
Health Maintenance Organization
1893 W MALVERN AVE
Fullerton, CA 92833
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1336556059 (877) 608-0044

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92840 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 16

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

DR. BENJAMIN NAVARRO M.D.
Internal Medicine
12751 HARBOR BLVD
GARDEN GROVE, CA 92840
Orange County (714) 636-7852
ALTAMED HEALTH SERVICES CORP
Clinic/Center (Community Health)
12751 HARBOR BLVD
GARDEN GROVE, CA 92840
Orange County (714) 636-7852
MRS. ADITA GRACIELA MCKENZIE FNP
Nurse Practitioner (Family)
12751 HARBOR BLVD
GARDEN GROVE, CA 92840
Orange County (714) 620-8883
MARIA YSABEL SILVA
Case Manager/Care Coordinator
12751 HARBOR BLVD
GARDEN GROVE, CA 92840
Orange County (714) 636-7852
BRYAN CHOI MD
Internal Medicine
12751 HARBOR BLVD
GARDEN GROVE, CA 92840
Orange County (888) 499-9303
EDWARD KO M.D.
Internal Medicine
12751 HARBOR BLVD
GARDEN GROVE, CA 92840
Orange County (888) 499-9303
SOCHIL PLASCENCIA
Case Manager/Care Coordinator
12751 HARBOR BLVD
GARDEN GROVE, CA 92840
Orange County (714) 636-7852
MRS. YESSELIN C TORRES CPHW
Case Manager/Care Coordinator
12751 HARBOR BLVD
GARDEN GROVE, CA 92840
Orange County (714) 636-7852

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 Kaidi Kim's NPI number?

The NPI number for Kaidi Kim is 1952763054. It was assigned to this individual provider in the NPPES registry on March 28, 2016. The provider is also known as Dr. Kaidi He MD.

Where is Kaidi Kim located?

Kaidi Kim practices at 12751 Harbor Blvd, Garden Grove, CA 92840. The listed phone number is (888) 499-9303.

What is Kaidi Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kaidi Kim enrolled in Medicare?

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

Which organization bills Medicare for Kaidi Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaidi Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Fullerton, 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 Kaidi 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 Kaidi Kim was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.