Organization Active NPI

Janet K Kim MD Inc

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1407473754
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
JANET K KIM MD INC
Practice address
903 Crenshaw Blvd Ste 105
Los Angeles, CA 90019-1972
Phone
(323) 240-2900
NPI assigned
Jul 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Janet KimNPI 1336374123
Title
Physician Owner
Phone
(323) 284-5884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

903 Crenshaw Blvd Ste 105
Los Angeles, CA 90019-1972

Mailing address

227 S Lucerne Blvd
Los Angeles, CA 90004-3726
Phone (323) 240-2900

Other names 2

  • JANET K. KIM MD, INC Former legal business name
  • Janet K. Kim, M.D., Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201028003228 CA Part B Supplier - Clinic/Group Practice 5890105092 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1407473754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 S LUCERNE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043726",
            "telephone_number": "323-240-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 CRENSHAW BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191972",
            "telephone_number": "323-240-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET K KIM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "323-284-5884"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JANET K. KIM MD, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Janet K. Kim, M.D., Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Janet K. Kim, M.D., Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.