Active NPI
Won Kim
- Neurological Surgery Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- A115612
- Practice address
- 18-228 Semel
Los Angeles, CA 90095-7039 - Phone
- (310) 825-5111
- NPI assigned
- Aug 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | A115612 | CA | Primary |
Addresses
Primary practice location
18-228 Semel
Los Angeles, CA 90095-7039
Mailing address
18-228 Semel
10833 Leconte Avenue
Los Angeles, CA 90095-7039
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Stein PLZ
Suite 420
Los Angeles, CA 90095-0001
Phone (310) 825-5111
Hospital & facility affiliations
- Ronald Reagan UCLA Medical Center
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.91 of 100
- Quality
- 68.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 63.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A115612 | CA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Neurological Surgery | Current | Accepting new patients |
| The Regents of the University of California | Neurological Surgery | Current | Accepting new patients |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| UCLA Medical Group | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients |
Locations
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 54206
Los Angeles, CA 90074
757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448
300 Stein Plz
Ste 420
Los Angeles, CA 90095
Phone (310) 267-2621
3500 Lomita Blvd
Ste M100
Torrance, CA 90505
Phone (310) 325-7404
Interoperability endpoints
- wkim37904@direct.uclahealth.org
Organizations & group practices 5
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.
-
- Neurological Surgery Physician
- Los Angeles, CA
- NPI 1538125844
-
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
- NPI 1447027677
Neurological Surgery
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1508022997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18-228 SEMEL",
"address_2": "10833 LECONTE AVENUE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900957039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18-228 SEMEL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900957039",
"telephone_number": "310-825-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "WON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-05",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A115612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 1, 2017; 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.