Hannah Kim

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A155881 Issued in CA

Practice address

26585 Agoura Rd Ste 360
Calabasas, CA 91302

Phone

(818) 592-2320

Fax

(818) 880-0814

NPI assigned

Mar 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: hkim1192313@oc.providencedirect.org

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.

• Providence Medical Institute

  dba Providence Little Company of Mary Medical Institute

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1417915760

  Pediatrics

  NPD (past)
• Providence Health & Services Washington

  dba Providence St Peter Hospital

  • General Acute Care Hospital
  • Olympia, WA
  • NPI 1346250594
  NPD (past)

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1538522123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26585 AGOURA RD STE 360",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "91302",
            "telephone_number": "818-592-2320",
            "fax_number": "818-880-0814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 Westwood Plz",
            "address_2": "B711 RRUMC",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900957419",
            "country_code": "US",
            "telephone_number": "310-267-9129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Sepulveda Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902665973",
            "country_code": "US",
            "telephone_number": "310-546-8702",
            "fax_number": "310-545-5310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 Santa Monica Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042429",
            "country_code": "US",
            "telephone_number": "310-829-9935",
            "fax_number": "310-829-1077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19950 Rinaldi St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Porter Ranch",
            "state": "CA",
            "postal_code": "913264141",
            "country_code": "US",
            "telephone_number": "818-271-2400",
            "fax_number": "818-271-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "757 Westwood Plz",
            "address_2": "B711 RRUMC",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900957419",
            "country_code": "US",
            "telephone_number": "310-267-9129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11318 National Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900643727",
            "country_code": "US",
            "telephone_number": "310-231-9150",
            "fax_number": "310-268-9319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Fairmount Ave Ste 415",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053154",
            "country_code": "US",
            "telephone_number": "626-449-8440",
            "fax_number": "626-449-8999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 Torrance Blvd Ste 660",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905034522",
            "country_code": "US",
            "telephone_number": "310-373-4303",
            "fax_number": "310-375-1935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 La Venta Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913613758",
            "country_code": "US",
            "telephone_number": "805-557-7187",
            "fax_number": "805-557-7197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Sepulveda Blvd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902665974",
            "country_code": "US",
            "telephone_number": "310-546-8702",
            "fax_number": "310-545-5310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A155881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Khoramian
• Ferial Khorassani-Farrokhi, PHARMD
• Aimen Khouraki, PSY.D.
• Cara Kiff, PHD
• Elizabeth J Kim, BCBA
• Kimberley Quinlan a Marriage and Family Therapy Corporation
• Kindred Care Inc (Kindred Care Pharmacy)
• Roberta Lee Kirchner
• Stephanie Ann Kirschner, M.S.,L.M.F.T.
• Kleer Health Technologies

• Pediatrics Physician in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.