NPIMap

Individual provider Active NPI

Andrew J Kim, M.D.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1699858993
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A49072 Issued in CA
Practice address
3663 W 6TH St Ste 309
Los Angeles, CA 90020-3050
Phone
(213) 387-8200
Fax
(213) 365-2600
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A49072 CA Primary

Addresses

Primary practice location

3663 W 6TH St Ste 309
Los Angeles, CA 90020-3050

Mailing address

3663 W 6TH St Ste 309
Los Angeles, CA 90020-3050
Phone (213) 387-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910001051 CA Practitioner - Cardiovascular Disease (Cardiology) 1456361633 Reassigns benefits to 1 organization
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

3663 W 6TH St
Suite 309
Los Angeles, CA 90020-3050
Phone (213) 387-8200

6557 Greenleaf Ave
Whittier, CA 90601-4108

Hospital & facility affiliations

  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49072CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Health Physicians of Pih CurrentSince Nov 1, 2021 Accepting new patients
Pih Health Physicians Current Accepting new patients
Pih Health Physicians CurrentSince Nov 1, 2021 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Bright Medical Associates, Inc. Specialist Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Greatcare Home Health, Inc PastSince Mar 21, 2003 Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

3663 W 6th St
Ste 309
Los Angeles, CA 90020
Phone (212) 387-8200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: andrewkim@pihh.allscriptsdirect.net

Organizations & group practices 10

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699858993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 W 6TH ST STE 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203050",
            "telephone_number": "213-387-8200",
            "fax_number": "213-365-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 W 6TH ST STE 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203050",
            "telephone_number": "213-387-8200",
            "fax_number": "213-365-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A49072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.