Active NPI
Madison Kim
- Physician Assistant
- Newport Beach, CA
National Provider Identifier
1619833449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 20271 SW Birch St Ste 100
Newport Beach, CA 92660-1714 - Phone
- (949) 336-7293
- NPI assigned
- Dec 24, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
20271 SW Birch St Ste 100
Newport Beach, CA 92660-1714
Mailing address
1951 E Dyer Rd Unit 362
Santa Ana, CA 92705-5760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Qazi Cosmetic Clinic | Single Specialty | Current | Accepting new patients |
Locations
20271 SW Birch St
Ste 100
Newport Beach, CA 92660
Phone (949) 336-7293
Organizations & group practices 1
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": "1766534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766534400000",
"number": "1619833449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 E DYER RD UNIT 362",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927055760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20271 SW BIRCH ST STE 100",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926601714",
"telephone_number": "949-336-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MADISON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-24",
"last_updated": "2025-12-24",
"certification_date": "2025-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.