NPIMap

Individual provider Active NPI

William Chul Kim, M.D.

  • Specialist
  • Torrance, CA
National Provider Identifier
1144228628
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C39809 Issued in CA
Practice address
4201 Torrance Blvd
Suite 190
Torrance, CA 90503-4504
Phone
(310) 543-2521
Fax
(310) 543-4754
NPI assigned
Jul 8, 2005
Last updated
Jul 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C39809 CA Primary

Addresses

Primary practice location

4201 Torrance Blvd
Suite 190
Torrance, CA 90503-4504

Mailing address

4201 Torrance Blvd
Suite 190
Torrance, CA 90503-4504
Phone (310) 543-2521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050714001099 CA Practitioner - Orthopedic Surgery 7315842119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William C Kim MD IncGroup PAC ID 3971408766, 2 clinicians

Practice addresses (Care Compare)

4201 Torrance Blvd
Suite 190
Torrance, CA 90503-4539
Phone (310) 543-2521

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C39809CAMDSpecialist
39809CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
William C. Kim, M.D. Inc Specialist Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Orthopaedic Specialties Associates Specialist Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Little Company of Mary Affiliated Services Inc Past Accepting new patients
University of California Irvine Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Allan M. Delman, M. D. a Medical Corporation Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1144228628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD",
            "address_2": "SUITE 190",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034504",
            "telephone_number": "310-543-2521",
            "fax_number": "310-543-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD",
            "address_2": "SUITE 190",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034504",
            "telephone_number": "310-543-2521",
            "fax_number": "310-543-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "WILLIAM",
        "middle_name": "CHUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C39809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.