Kenneth T Kim, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

G061259 Issued in CA

Practice address

2600 Redondo Ave
Ste 400
Long Beach, CA 90806-2330

Phone

(562) 997-7888

NPI assigned

Jul 1, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

Harvard Medical School, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy Asthma and Respiratory Care CenterGroup PAC ID 7113815895, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Allergy Asthma & Respiratory Care Center

  • Allergy & Immunology Physician
  • Long Beach, CA
  • NPI 1497719447
  Medicare reassignment Care Compare group
• Allergy, Asthma & Respiratory Care

  • Medical Specialty Clinic/Center
  • Tustin, CA
  • NPI 1528251436
  NPD
• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  NPD (past)
• Long Beach Memorial Medical

  • Rehabilitation Hospital Unit
  • Long Beach, CA
  • NPI 1396791414
  NPD (past)
• Los Alamitos Medical Center, Inc.

  dba Los Alamitos Medical Center

  • Psychiatric Hospital Unit
  • Los Alamitos, CA
  • NPI 1497780084
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205833563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 REDONDO AVE",
            "address_2": "STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062330",
            "telephone_number": "562-997-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 REDONDO AVE",
            "address_2": "STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062330",
            "telephone_number": "562-997-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KENNETH",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G061259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy H. Kim, NP
• Judy Yoori Kim
• Juhye Lena Kim, M.D.
• Julie Kim, PNP
• Karin Kim, DC
• Lindsey Kim, DNP, APRN, FNP-BC
• May Kim, PH.D.
• Melvie Kim, MD
• Michelle Elizabeth Kim, M.D.
• Michelle Heejin Kim

• Allergy & Immunology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.