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IRIS KIM MD
NPI 1992264964
Allergy & Immunology in Long Beach, CA

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment
3816 WOODRUFF AVE STE 209, LONG BEACH, CA 90808(562) 496-4749(562) 429-3329 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 29, 2026, Oct 17, 2022, Mar 18, 2019 (3 updates tracked since 2019).

About Iris Kim Md NPPES

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

IRIS KIM MD (NPI 1992264964) is an individual allergy & immunology provider in Long Beach, California, licensed in California (A180447) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1992264964
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameIRIS KIMCredential: MD
Location Address3816 WOODRUFF AVE STE 209Long Beach, CA 90808-2145
Mailing Address3816 Woodruff Ave Ste 209Long Beach, CA 90808-2145 · (562) 496-4749 · Fax (562) 429-3329
Phone(562) 496-4749
Fax(562) 429-3329
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 18, 2019
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1992264964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in CA · A180447
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedPediatricsTaxonomy 208000000X · License 1992264964 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3816 WOODRUFF AVE STE 209, Long Beach, CA 90808
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1385 S Manchester Ave Unit 1105Orange, CA 92868-3242 · Phone (808) 391-4258
Location 2505 S Main St Ste 525Orange, CA 92868-4553 · Phone (714) 456-5631 · Fax (714) 285-0389
Location 323600 Telo Ave Ste 130Torrance, CA 90505-4036 · Phone (310) 833-1334 · Fax (310) 833-0270

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

Iris Kim Md 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 ID648664508
PECOS Enrollment IDI20250905003563
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 Iris Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Modena Allergy & Asthma Inc.
83 mi
Allergy & Immunology
9850 GENESEE AVE STE 710
La Jolla, CA 92037
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
NPI 1508527797 (858) 283-3963

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

Other Providers at the Same Location NPPES 9

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

FONDA JIANG
Allergy & Immunology
3816 WOODRUFF AVE STE 209
LONG BEACH, CA 90808
Los Angeles County (562) 496-4749
MS. ALISON K MCCARTHY MSN, FNP-C
Registered Nurse
3816 WOODRUFF AVE STE 209
LONG BEACH, CA 90808
Los Angeles County (562) 496-4749
EMILY SHER ROBBINS DO
Pediatrics
3816 WOODRUFF AVE STE 209
LONG BEACH, CA 90808
Los Angeles County (562) 496-4749
STEVEN M MELTZER MD
Allergy & Immunology
3816 WOODRUFF AVE STE 209
LONG BEACH, CA 90808
Los Angeles County (562) 496-4749
MS. CHRISTINA SOOJUNG RYOU PA
Physician Assistant
3816 WOODRUFF AVE STE 209
LONG BEACH, CA 90808
Los Angeles County (562) 496-4749
KAYLA MIKA SAMESHIMA
Physician Assistant
3816 WOODRUFF AVE STE 209
LONG BEACH, CA 90808
Los Angeles County (562) 496-4749
ASHLEY SANDOVAL M.D.
Allergy & Immunology
3816 WOODRUFF AVE STE 209
LONG BEACH, CA 90808
Los Angeles County (562) 496-4749
JESSICA MARLOW
Nurse Practitioner (Family)
3816 WOODRUFF AVE STE 209
LONG BEACH, CA 90808
Los Angeles County (562) 496-4749

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 Iris Kim's NPI number?

The NPI number for Iris Kim is 1992264964. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Iris Kim located?

Iris Kim practices at 3816 Woodruff Ave Ste 209, Long Beach, CA 90808. The listed phone number is (562) 496-4749.

What is Iris Kim's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Iris Kim enrolled in Medicare?

Yes. Iris 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 organization bills Medicare for Iris Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Iris Kim reassigns Medicare benefits to Modena Allergy & Asthma Inc. (La Jolla, 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 Iris 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 Iris Kim was last updated on May 29, 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.