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

Active since April 29, 2024PECOS EnrolledAccepts Medicare Assignment
3663 W 6TH ST STE 103, LOS ANGELES, CA 90020(213) 388-5144 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 Los Angeles, California, licensed in California (95029543) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1962258970
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBORAM KIMCredential: PHD, APRN, FNP-BC
Location Address3663 W 6TH ST STE 103Los Angeles, CA 90020-3047
Mailing Address3663 W 6th St Ste 103Los Angeles, CA 90020-3047 · (213) 388-5144
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 29, 2024
NPPES CertifiedApril 29, 2024
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
3663 W 6TH ST STE 103, Los Angeles, CA 90020

Medicare Participation & PECOS CMS

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

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.

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
$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 6

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

Nurse Practitioner (Family)
3663 W 6TH ST STE 103
LOS ANGELES, CA 90020
Nurse Practitioner (Family)
3663 W 6TH ST STE 103
LOS ANGELES, CA 90020
Internal Medicine
3663 W 6TH ST STE 103
LOS ANGELES, CA 90020
Surgery
3663 W 6TH ST STE 103
LOS ANGELES, CA 90020
Physician Assistant
3663 W 6TH ST STE 103
LOS ANGELES, CA 90020
Family Medicine (Adult Medicine)
3663 W 6TH ST STE 103
LOS ANGELES, CA 90020

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 3663 W 6th St Ste 103, Los Angeles, CA 90020. The listed phone number is (213) 388-5144.

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.

When was this NPI record last updated?

The NPPES record for Boram Kim was last updated on April 29, 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.