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MR. YOUNGBAE KIM DDS
NPI 1962664862
Dentist - General Practice in Los Angeles, CA

Active since July 01, 2008PECOS Enrolled
903 CRENSHAW BLVD, #303, LOS ANGELES, CA 90019(323) 930-4800(323) 930-4801 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Youngbae Kim Dds NPPES

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

MR. YOUNGBAE KIM DDS (NPI 1962664862) is an individual general practice provider in Los Angeles, California, licensed in California (48624) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962664862
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. YOUNGBAE KIMCredential: DDS
Location Address903 CRENSHAW BLVD, #303Los Angeles, CA 90019-1964
Mailing Address903 South Crenshaw Blvd, #303La, CA 90019 · (323) 930-4800 · Fax (323) 930-4801
Phone(323) 930-4800
Fax(323) 930-4801
Sole ProprietorYes
Enumeration DateJuly 1, 2008
Last NPPES UpdateMay 10, 2016
✔ NPI 1962664862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 48624
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
903 CRENSHAW BLVD, Los Angeles, CA 90019
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Youngbae Kim Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90019 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 14

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

DR. CATHY KYONGHEE KIM OMD, ACUPUNCTURIST
Acupuncturist
903 CRENSHAW BLVD, SUITE 204
LOS ANGELES, CA 90019
Los Angeles County (323) 934-0934
MRS. SUNNY SUNEUI KIM L. AC
Acupuncturist
903 CRENSHAW BLVD, #105
LOS ANGELES, CA 90019
Los Angeles County (310) 460-8197
DR. STEVEN KYONG WON HWANG M.D.
Internal Medicine (Infectious Disease)
903 CRENSHAW BLVD, 204
LOS ANGELES, CA 90019
Los Angeles County (213) 675-7781
YOUN KGAN KIM
Acupuncturist
903 CRENSHAW BLVD, #302
LOS ANGELES, CA 90019
Los Angeles County (323) 889-9114
DREAM PHYSICAL THERAPY INC
Physical Therapist
903 CRENSHAW BLVD, SUITE 310
LOS ANGELES, CA 90019
Los Angeles County (323) 931-8866
MR. SUNG HO CHIN OTR/L
Occupational Therapist
903 CRENSHAW BLVD, STE 301
LOS ANGELES, CA 90019
Los Angeles County (626) 375-0855
DR. HASUNG LEE
Pediatrics
903 CRENSHAW BLVD, #104
LOS ANGELES, CA 90019
Los Angeles County (323) 931-8177
CANAAN SURGERY CENTER, INC.
Clinic/Center (Ambulatory Surgical)
903 CRENSHAW BLVD, SUITE 200
LOS ANGELES, CA 90019
Los Angeles County (323) 909-6644

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 Youngbae Kim's NPI number?

The NPI number for Youngbae Kim is 1962664862. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Where is Youngbae Kim located?

Youngbae Kim practices at 903 Crenshaw Blvd #303, Los Angeles, CA 90019. The listed phone number is (323) 930-4800.

What is Youngbae Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Youngbae Kim enrolled in Medicare?

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

What insurance does Youngbae Kim accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Youngbae Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Youngbae Kim was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.