NPIMap

Organization Active NPI

Ardmore Medical Group

  • General Practice Physician
  • El Monte, CA
National Provider Identifier
1578624672
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ARDMORE MEDICAL GROUP
Practice address
3564 Santa Anita Ave Ste a
El Monte, CA 91731-2458
Phone
(626) 350-8101
Fax
(626) 442-0196
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Alan K Kims, M.D.
Title
President
Phone
(323) 562-6170

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3564 Santa Anita Ave Ste a
El Monte, CA 91731-2458

Mailing address

5953 Atlantic Blvd
Maywood, CA 90270-3133
Phone (323) 562-6170

Other names 1

  • CLINICA HUMANITARIA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070809000171 CA Part B Supplier - Clinic/Group Practice 6901997634 Receives reassigned benefits from 5 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Maywood, CA; Los Angeles, CA; Huntington Park, CA; El Monte, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ardmore Medical Group18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

3500 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 262-8100

Practitioners & affiliated clinicians

Practitioners 6

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1578624672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5953 ATLANTIC BLVD",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902703133",
            "telephone_number": "323-562-6170",
            "fax_number": "323-562-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3564 SANTA ANITA AVE STE A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312458",
            "telephone_number": "626-350-8101",
            "fax_number": "626-442-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDMORE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KIMS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-562-6170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA HUMANITARIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.