DAVID H. KIM M.D. INC.
NPI 1972616142
Orthopaedic Surgery - Sports Medicine in Huntington Beach, CA

Q: What is David H. Kim M.D. Inc.'s NPI number?

The NPI number for David H. Kim M.D. Inc. is 1972616142. It was assigned to this organization in the NPPES registry on August 15, 2006.

Q: What is David H. Kim M.D. Inc.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since August 15, 2006

19671 BEACH BLVD STE 315, HUNTINGTON BEACH, CA 92648(714) 848-1911(714) 841-6761 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2026, Feb 21, 2017 (2 updates tracked since 2017).

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About David H. Kim M.d. Inc. NPPES

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

DAVID H. KIM M.D. INC. (NPI 1972616142) is a healthcare organization registered as a sports medicine in Huntington Beach, California and active in the NPI registry since August 2006. The organization maintains a secondary practice location in Huntington Beach and lists Summer Bates, Practice Manger, as its authorized official.

NPPES Registry Identity

NPI1972616142

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameDAVID H. KIM M.D. INC.

Location Address19671 BEACH BLVD STE 315Huntington Beach, CA 92648-5904

Mailing Address19671 Beach Blvd Ste 315Huntington Beach, CA 92648-5904 · (714) 848-1911 · Fax (714) 841-6761

Phone(714) 848-1911

Fax(714) 841-6761

Organization SubpartNo

Authorized OfficialSummer BatesPractice Manger · (714) 848-1911

Enumeration DateAugust 15, 2006

Last NPPES UpdateMay 28, 20262 updates tracked since enumeration

NPPES CertifiedMay 28, 2026

✔ NPI 1972616142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in CA · A82379

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

19671 BEACH BLVD STE 315, Huntington Beach, CA 92648

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Secondary Practice Location 1

Location 119582 Beach Blvd, Suite 120Huntington Beach, CA 92648-2996 · Phone (714) 848-1911 · Fax (714) 841-6761

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David H. Kim M.d. Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20121127000452DME · Physician - Orthopedic/Orthopedic SurgeryDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to David H. Kim M.D. Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

David Kim, M.D.

Orthopedic Surgery

NPI 1255314431

19671 BEACH BLVD STE 315
Huntington Beach, CA 92648

(714) 848-1911

✔ PECOS✔ Accepts MedicareSame address

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

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 David H. Kim M.D. Inc.'s NPI number?

The NPI number for David H. Kim M.D. Inc. is 1972616142. It was assigned to this organization in the NPPES registry on August 15, 2006.

Where is David H. Kim M.D. Inc. located?

David H. Kim M.D. Inc. is located at 19671 Beach Blvd Ste 315, Huntington Beach, CA 92648. The listed phone number is (714) 848-1911.

What is David H. Kim M.D. Inc.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is David H. Kim M.D. Inc. enrolled in Medicare?

Yes. David H. Kim M.D. Inc. is registered in the Medicare PECOS enrollment system.

When is David H. Kim M.D. Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Physician - Orthopedic/Orthopedic Surgery) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through David H. Kim M.D. Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to David H. Kim M.D. Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for David H. Kim M.D. Inc. was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.