Philip Kim, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A166209 Issued in CA

Practice address

17507 Crenshaw Blvd
Torrance, CA 90504-3403

Phone

(310) 324-4443

Fax

(310) 324-7925

NPI assigned

Jun 26, 2013

Last updated

Oct 22, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, CA2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Affordable Urgent Care IncGroup PAC ID 0840617676, 4 clinicians

Carepath Medical Group IncGroup PAC ID 8224499868, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Desante Home Health, Inc. Home health agency, Van Nuys, CA, CCN 757226
• Reseda Home Health Inc Home health agency, Reseda, CA, CCN 757220
• Cipher Home Health Home health agency, Burbank, CA, CCN 757218
• Safe Haven Home Health Home health agency, Van Nuys, CA, CCN 757776
• Nova Home Health Care, Inc Home health agency, North Hollywood, CA, CCN 757430
• Medical Alliance Group Hospice, Glendale, CA, CCN B41785
• Better Life Hospice Hospice, Glendale, CA, CCN B41779
• Mercury Hospice, Inc Hospice, Van Nuys, CA, CCN D61500
• Health Corner Hospice Hospice, Glendale, CA, CCN B41600
• TH Caring Hospice Care, Inc Hospice, Van Nuys, CA, CCN B51706
• Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Medical Alliance Group

  • Community Based Hospice Care Agency
  • Glendale, CA
  • NPI 1447869334

  Contracted Managing Employee

  CMS ownership
• Mercury Hospice Inc

  • Community Based Hospice Care Agency
  • Van Nuys, CA
  • NPI 1710519178

  W-2 Managing Employee

  CMS ownership

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.

• Affordable Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Canoga Park, CA
  • NPI 1992330690
  Medicare reassignment Care Compare group NPD
• Best Life Medical Group Inc

  • Family Medicine Physician
  • Sherman Oaks, CA
  • NPI 1205608908
  Medicare reassignment NPD Authorized official
• Carepath Medical Group Inc

  • Primary Care Nurse Practitioner
  • Glendale, CA
  • NPI 1851085948
  Medicare reassignment Care Compare group NPD
• Family Care MD Group Inc

  • Family Medicine Physician
  • Sun Valley, CA
  • NPI 1235808478
  Medicare reassignment NPD Authorized official
• J & J Medical Group Inc

  • Adult Medicine Physician
  • Torrance, CA
  • NPI 1477235653
  Medicare reassignment NPD Authorized official
• Toluca Lake Medical Clinic Inc

  • Family Medicine Physician
  • Toluca Lake, CA
  • NPI 1598657645
  Medicare reassignment NPD Authorized official
• May MD Inc.

  • Surgery Physician
  • Culver City, CA
  • NPI 1467037382
  Medicare reassignment NPD
• Palmdale Urgent Care Inc

  • Urgent Care Clinic/Center
  • Palmdale, CA
  • NPI 1699480038
  Medicare reassignment NPD
• Pascual Medical Center Inc

  • Geriatric Medicine (Family Medicine) Physician
  • N Hollywood, CA
  • NPI 1093516445
  Medicare reassignment NPD
• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937
  Medicare reassignment NPD
• Four Wellness Clinic Inc

  • Urgent Care Clinic/Center
  • Canoga Park, CA
  • NPI 1932816295
  NPD
• Global Wound Care Medical Group

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1235831132
  NPD

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

• Cipher Home Health

  • Home Health Agency
  • Burbank, CA
  • NPI 1093327819
  Care Compare affiliation
• Desante Home Health Inc

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1134702970
  Care Compare affiliation
• Medical Alliance Group

  • Community Based Hospice Care Agency
  • Glendale, CA
  • NPI 1447869334
  Care Compare affiliation
• Mercury Hospice Inc

  • Community Based Hospice Care Agency
  • Van Nuys, CA
  • NPI 1710519178
  Care Compare affiliation
• Nova Home Health Care Inc

  • Home Health Agency
  • Burbank, CA
  • NPI 1902576325
  Care Compare affiliation
• Reseda Home Health Inc

  • Home Health Agency
  • Reseda, CA
  • NPI 1154998847
  Care Compare affiliation
• Safe Haven Home Health

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1295486371
  Care Compare affiliation
• TH Caring Hospice Care Inc

  • Community Based Hospice Care Agency
  • Van Nuys, CA
  • NPI 1942890405
  Care Compare affiliation
• Torrance Memorial Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1467459776
  Care Compare affiliation

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1356781132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17507 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043403",
            "telephone_number": "310-324-4443",
            "fax_number": "310-324-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17507 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043403",
            "telephone_number": "310-324-4443",
            "fax_number": "310-324-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "25319",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A166209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Yisok Kim, MD
• Noolee Kim, DPT
• Paul Kim
• Paul Hyoun Kim, M.D.
• Paul Hyungil Kim, D.D.S.
• Rachel Anne Kim, MD
• Rain J Kim, PHARMD
• Ricky Kim, MD
• Robyn Murakami Kim, MS, MFT
• Sang Kim

• Family Medicine Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.