Individual provider Active NPI

David Chim, D.O.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1346306388
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A9135 Issued in CA
Practice address
700 S Flower St Ste 2340
Los Angeles, CA 90017-4123
Phone
(310) 500-2039
Fax
(323) 305-7149
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A9135 CA Primary

Addresses

Primary practice location

700 S Flower St Ste 2340
Los Angeles, CA 90017-4123

Mailing address

130 Sutter St FL 2
San Francisco, CA 94104-4009
Phone (415) 658-6791

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181120001682 CA Practitioner - Family Practice 2961756465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amg a Professional Medical CorporationGroup PAC ID 9830092279, 27 clinicians

Practice addresses (Care Compare)

333 S Garfield Ave
Suite a
Alhambra, CA 91801-3895
Phone (626) 282-0282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9135CAMDProfessional Counselor
20A9135CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg, a Professional Medical Corporation Family Medicine CurrentSince Oct 9, 2023 Accepting new patients
Providence Saint Johns Medical Foundation Family Medicine CurrentSince Mar 1, 2019 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

925 S Garfield Ave
Alhambra, CA 91801
Phone (626) 300-8388

1658 W Valley Blvd
Ste 120
Alhambra, CA 91803

333 S Garfield Ave
Ste A
Alhambra, CA 91801
Phone (626) 284-1997

710 N Euclid St
Ste 101
Anaheim, CA 92801
Phone (714) 517-2000

9725 Wilshire Blvd
Beverly Hills, CA 90212
Phone (310) 500-2040

700 S Flower St
Ste 2340
Los Angeles, CA 90017
Phone (310) 500-2039

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

11236 Whittier Blvd
Whittier, CA 90606

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: david.chim@662570498326532.direct.elationemr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1346306388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SUTTER ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044009",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S FLOWER ST STE 2340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174123",
            "telephone_number": "310-500-2039",
            "fax_number": "323-305-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIM",
        "first_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.