Active NPI
Alexander Kim, DNP
- Primary Care Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1033618509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 95008286
- Practice address
- 701 W Cesar E Chavez Ave Ste 201
Los Angeles, CA 90012-2185 - Phone
- (213) 217-5300
- NPI assigned
- Feb 9, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 95008286 | CA | Primary |
Addresses
Primary practice location
701 W Cesar E Chavez Ave Ste 201
Los Angeles, CA 90012-2185
Mailing address
701 W Cesar E Chavez Ave Ste 201
Los Angeles, CA 90012-2185
Phone (213) 217-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission City Community Network, Inc. | Current | Accepting new patients | |
| Mission City Community Network, Inc. | Current | Accepting new patients |
Locations
8527 Sepulveda Blvd
North Hills, CA 91343
Phone (310) 926-4865
8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone 8188953100602
15206 Parthenia St
Sepulveda, CA 91343
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hollywood, CA
- NPI 1710102009
-
- Community Health Clinic/Center
- North Hills, CA
- NPI 1710370747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1033618509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W CESAR E CHAVEZ AVE STE 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122185",
"telephone_number": "213-217-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W CESAR E CHAVEZ AVE STE 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122185",
"telephone_number": "213-217-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-09",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95008286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.