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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.

BORAM KIM PHD, APRN, FNP-BC
NPI 1962258970
Nurse Practitioner - Family in Torrance, CA

Active since April 29, 2024PECOS EnrolledAccepts Medicare Assignment
20911 EARL ST STE 440, TORRANCE, CA 90503(310) 793-2566(310) 419-8553 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 21, 2026, Apr 29, 2024 (2 updates tracked since 2024).

About Boram Kim Phd, Aprn, Fnp-bc NPPES

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

BORAM KIM PHD, APRN, FNP-BC (NPI 1962258970) is an individual family provider in Torrance, California, licensed in California (95029543) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1962258970
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBORAM KIMCredential: PHD, APRN, FNP-BC
Location Address20911 EARL ST STE 440Torrance, CA 90503-4355
Mailing Address20911 Earl St Ste 440Torrance, CA 90503-4355 · (310) 793-2566 · Fax (310) 419-8553
Phone(310) 793-2566
Fax(310) 419-8553
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 29, 2024
Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1962258970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95029543
20911 EARL ST STE 440, Torrance, CA 90503
Open in Google Maps ↗

Secondary Practice Location 1

Location 13663 W 6th St Ste 103Los Angeles, CA 90020-3047 · Phone (213) 388-5144

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Boram Kim Phd, Aprn, Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870011752
PECOS Enrollment IDI20250514002710
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 Reassignments

2

Medicare enrollment records show Boram Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Medical Institute
0.2 mi
Family Medicine
4101 TORRANCE BLVD
Torrance, CA 90503
  • Reassigned Medicare billing, California enrollment
  • 266 clinicians in this Medicare group
NPI 1235182569 (310) 793-8075
Healthrx Navigator LLC
370 mi
Health Service
2108 N ST STE C
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1003638156 (703) 540-3888

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 90503 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 8

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

DR. EVELYN DENEBEIM M.D.
Obstetrics & Gynecology
20911 EARL ST STE 440
TORRANCE, CA 90503
Los Angeles County (310) 419-8585
TIFFANY ANNE ETTERMAN DO
Obstetrics & Gynecology
20911 EARL ST STE 440
TORRANCE, CA 90503
Los Angeles County (310) 793-2566
CINDY TSAI
Obstetrics & Gynecology
20911 EARL ST STE 440
TORRANCE, CA 90503
Los Angeles County (310) 419-8585
KENDRA RAE MAHONEY MD
Obstetrics & Gynecology
20911 EARL ST STE 440
TORRANCE, CA 90503
Los Angeles County (310) 419-8585
MORIAH NICOLE MARIE EDMUNDSON DO, MS
Obstetrics & Gynecology
20911 EARL ST STE 440
TORRANCE, CA 90503
Los Angeles County (310) 793-2566
JENNIFER CHU
Obstetrics & Gynecology
20911 EARL ST STE 440
TORRANCE, CA 90503
Los Angeles County (310) 419-8585
WENDY MEDINA M.D.
Obstetrics & Gynecology
20911 EARL ST STE 440
TORRANCE, CA 90503
Los Angeles County (310) 419-8585
CARINA CRYSTAL CORTEZ WHNP
Nurse Practitioner (Women's Health)
20911 EARL ST STE 440
TORRANCE, CA 90503
Los Angeles County (310) 793-2566

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 Boram Kim's NPI number?

The NPI number for Boram Kim is 1962258970. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Boram Kim located?

Boram Kim practices at 20911 Earl St Ste 440, Torrance, CA 90503. The listed phone number is (310) 793-2566.

What is Boram Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Boram Kim enrolled in Medicare?

Yes. Boram Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Boram Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Boram Kim reassigns Medicare benefits to 2 organizations: Providence Medical Institute (Torrance, CA) and Healthrx Navigator LLC (Sacramento, CA). Each 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 Boram 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 Boram Kim was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 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.