Ayumi Angie Kimura, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13034T Issued in CA

Practice address

450 N Bedford Dr
#101
Beverly Hills, CA 90210-4324

Phone

(310) 430-0225

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Optometrix

  dba Dr. Myles Josef Zakheim,OD

  • Optometrist
  • Los Angeles, CA
  • NPI 1952589442
  Medicare reassignment NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1699884650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N BEDFORD DR",
            "address_2": "#101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104324",
            "telephone_number": "310-430-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N BEDFORD DR",
            "address_2": "#101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104324",
            "telephone_number": "310-430-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMURA",
        "first_name": "AYUMI",
        "middle_name": "ANGIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13034T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Min Kim, L.AC.
• Paula Kim
• Seohee A. Kim
• Steve Seog Kim, M.D., PHD.
• Kimberly J Lee MD Inc
• Kincaid Psychiatric Nursing, Apc
• Carolyn Lee Kipper, M.D.
• David A Kipper, M.D.
• Kira Stein, MD, a Professional Corporation (West Coast Life Center)
• Kirby Dermatology, a Medical Corporation

• Optometrist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.