Individual provider Active NPI

Diego Alberto Kim, PT, DPT

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1548751357
Registry record updated Jun 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294802 Issued in CA
Practice address
2202 Artesia Blvd Ste Q
Torrance, CA 90504-2963
Phone
(714) 988-8120
Fax
(714) 988-8119
NPI assigned
May 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 294802 CA Primary

Addresses

Primary practice location

2202 Artesia Blvd Ste Q
Torrance, CA 90504-2963

Mailing address

2202 Artesia Blvd Ste Q
Torrance, CA 90504-2963
Phone (714) 988-8120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180619001377 CA Practitioner - Physical Therapist in Private Practice 7719232578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reps Physical Therapy PCGroup PAC ID 7517343098, 2 clinicians

Practice addresses (Care Compare)

2202 Artesia Blvd
Suite Q
Torrance, CA 90504-2963
Phone (714) 988-8120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
294802CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince May 31, 2018 Accepting new patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince May 31, 2018 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince May 31, 2018 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Reps Physical Therapy PC Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince May 31, 2018 Accepting new patients

Locations

3230 E Imperial Hwy
Ste 100
Brea, CA 92821
Phone (714) 256-5074

250 E Yale Loop
Ste 201
Irvine, CA 92604
Phone (949) 265-2442

24301 Muirlands Blvd
Ste T
Lake Forest, CA 92630
Phone (949) 271-0012

3300 Irvine Ave
Ste 130
Newport Beach, CA 92660
Phone (949) 271-0053

239 E Katella Ave
Orange, CA 92867
Phone (714) 538-0025

2202 Artesia Blvd
Ste Q
Torrance, CA 90504
Phone (562) 321-5555

Organizations & group practices 6

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687564800000",
    "number": "1548751357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 ARTESIA BLVD STE Q",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905042963",
            "telephone_number": "714-988-8120",
            "fax_number": "714-988-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 ARTESIA BLVD STE Q",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905042963",
            "telephone_number": "714-988-8120",
            "fax_number": "714-988-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DIEGO",
        "middle_name": "ALBERTO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2023-06-24",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.