Peter J Kim, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

C52913 Issued in CA

Practice address

818 S Lucerne Blvd Apt 301
Los Angeles, CA 90005-3713

Phone

(323) 472-0317

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Internal MedicineAlso: Rheumatology

Education

Johns Hopkins University School of Medicine, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Westwood Medical Group,Inc.Group PAC ID 6305944596, 3 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 and National Provider Directory roles.

• Westwood Medical Group,Inc.

  • Rheumatology Physician
  • Los Angeles, CA
  • NPI 1124104427
  Medicare reassignment Care Compare group NPD
• Regents Univ of Calif Los Angeles

  • Psychiatric Hospital
  • Los Angeles, CA
  • NPI 1952308363
  NPD (past)
• Dallas County Hospital District

  • Rehabilitation Hospital Unit
  • Dallas, TX
  • NPI 1407910276
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1235242199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 S LUCERNE BLVD APT 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 S LUCERNE BLVD APT 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053713",
            "telephone_number": "323-472-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C52913",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MA",
            "license": "213625",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "C52913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C529130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Sun Hyung Kim, M.D.
• Peter Kim
• Peter Kim, DDS
• Peter Kim, MD
• Peter Kim
• Peter Simon Kim, DPM, MS
• Phillip Jung-Wan Kim, D.C.
• Rachel Jungyun Kim, DO
• Rachel Seunah Kim, MD
• Reuben Han-Kyu Kim, DDS

• Rheumatology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.