Individual provider Active NPI

Karen J. Kim, MD

  • Internal Medicine Physician
  • Monrovia, CA
National Provider Identifier
1699853481
Registry record updated Dec 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A84620 Issued in CA
Practice address
831 E Huntington Dr
Monrovia, CA 91016-3612
Phone
(626) 358-4862
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A84620 CA Primary

Addresses

Primary practice location

831 E Huntington Dr
Monrovia, CA 91016-3612

Mailing address

14445 Olive View Dr
Dept. of Medicine, 2B182
Sylmar, CA 91342-1437
Phone (818) 364-3392

Other identifiers 1

IdentifierTypeStateIssuer
00A846200MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050831000620 CA Practitioner - Internal Medicine 7618909565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Yale University School of Medicine, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Northeast Valley Health CorporationGroup PAC ID 3173517323, shared by 14 NPIs, 77 clinicians

Practice addresses (Care Compare)

7843 Lankershim Blvd
North Hollywood, CA 91605-2523
Phone (818) 826-5555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Internal Medicine Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Apr 10, 2012 Accepting new patients
County of Los Angeles CurrentSince Aug 15, 2014 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Apr 10, 2012 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Aug 15, 2014 Accepting new patients
County of Los Angeles Current Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

931 Buena Vista St
Ste 405
Duarte, CA 91010
Phone (626) 358-0269

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

831 E Huntington Dr
Ste 101
Monrovia, CA 91016
Phone (626) 358-0269

831 E Huntington Dr
Monrovia, CA 91016
Phone (626) 358-0269

14445 Olive View Dr
#2B182
Sylmar, CA 91342
Phone (747) 210-3205

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418515200000",
    "number": "1699853481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14445 OLIVE VIEW DR",
            "address_2": "DEPT. OF MEDICINE, 2B182",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421437",
            "telephone_number": "818-364-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 E HUNTINGTON DR",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163612",
            "telephone_number": "626-358-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KAREN",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A846200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

Verify at the official NPI Registry.