Active NPI
Albert Kim, MD
- Pediatrics Physician
- La Habra, CA
National Provider Identifier
1558063164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A197598
- Practice address
- 1201 W Whittier Blvd FL 2
La Habra, CA 90631-3610 - Phone
- (562) 697-6030
- NPI assigned
- Mar 20, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A197598 | CA | Primary |
Addresses
Primary practice location
1201 W Whittier Blvd FL 2
La Habra, CA 90631-3610
Mailing address
1201 W Whittier Blvd FL 2
La Habra, CA 90631-3610
Phone (562) 697-6030
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240801002293 | CA | Order and Referring Only - Pediatric Medicine | 8224575709 |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
200 W Ctr St Promenade
Anaheim, CA 92805-3960
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A197598 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787961600000",
"number": "1558063164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 W WHITTIER BLVD FL 2",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906313610",
"telephone_number": "562-697-6030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W WHITTIER BLVD FL 2",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906313610",
"telephone_number": "562-697-6030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-20",
"last_updated": "2026-08-29",
"certification_date": "2026-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A197598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; 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.