Active NPI
Bernard Sungwon Kim, M.D.
- Pulmonary Disease Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A108352
- Practice address
- 1245 Wilshire Blvd Ste 503
Los Angeles, CA 90017-4805 - Phone
- (213) 977-4979
- Fax
- (213) 977-0544
- NPI assigned
- Sep 22, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A108352 | CA | |
| Pulmonary Disease Physician | 207RP1001X | A108352 | CA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A108352 | CA |
Addresses
Primary practice location
1245 Wilshire Blvd Ste 503
Los Angeles, CA 90017-4805
Mailing address
1245 Wilshire Blvd Ste 503
Los Angeles, CA 90017-4805
Phone (213) 977-4979
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG467Z | Other | CA | MEDICARE PTAN # |
| 2108461 | Medicaid | MA | |
| 118472323 | Other | CA | MEDI-CAL |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Tufts University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1245 Wilshire Blvd
Suite 503
Los Angeles, CA 90017-4805
Phone (213) 977-4979
Hospital & facility affiliations
- Usc Arcadia Hospital
- Pih Health Good Samaritan Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108352 | CA | MD | Clinical Social Worker |
| A108352 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Lung Associates | Internal Medicine | Current | Accepting new patients |
| Good Samaritan Hospital Ca LTD PTP | Past | Accepting new patients | |
| Baltimore Washington Medical Center Inc. | Internal Medicine | Past | Accepting new patients |
| Lahey Clinic, Inc | Internal Medicine | Past | Accepting new patients |
| Lahey Clinic, Inc. | Internal Medicine | Past | Accepting new patients |
| Cogent Healthcare of California, PC | Internal Medicine | Past | Accepting new patients |
Locations
1245 Wilshire Blvd
Ste 503
Los Angeles, CA 90017
Phone (213) 389-3200
1245 Wilshire Blvd
Ste 407
Los Angeles, CA 90017
Phone (213) 747-7307
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
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.
-
- Pulmonary Disease Physician
- Los Angeles, CA
- NPI 1265521371
Internal Medicine
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1366681074
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1205852209
-
- Internal Medicine Physician
- Glen Burnie, MD
- NPI 1831378868
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
-
- General Acute Care Hospital
- Arcadia, CA
- NPI 1508851288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1184723231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD STE 503",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174805",
"telephone_number": "213-977-4979",
"fax_number": "213-977-0544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD STE 503",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174805",
"telephone_number": "213-977-4979",
"fax_number": "213-977-0544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "BERNARD",
"middle_name": "SUNGWON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A108352",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A108352",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A108352",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN #",
"identifier": "CG467Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2108461",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "118472323",
"state": "CA"
}
],
"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 Jan 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.