Matthew Kim, DO

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

20A16814 Issued in CA

Practice address

50 Alessandro PL Ste 250
Pasadena, CA 91105-3149

Phone

(626) 577-1675

Fax

(626) 577-9115

NPI assigned

Apr 5, 2017

Sex

Male

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nephrology

Education

Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pasadena Nephrology Corporation a Medical GroupGroup PAC ID 4688764632, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Huntington Dialysis Dialysis facility, Pasadena, CA, CCN 552822
• DaVita Eaton Canyon Dialysis Dialysis facility, Pasadena, CA, CCN 052613
• Huntington Hospital Hospital, Pasadena, CA, CCN 050438
• Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: mkim38758@direct.davitaphysiciansolutions.com

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.

• Pasadena Nephrology Corporation a Medical Group

  • Nephrology Physician
  • Pasadena, CA
  • NPI 1962584904
  Medicare reassignment Care Compare group NPD

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

• Shetek Dialysis LLC

  dba Davita Huntington Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pasadena, CA
  • NPI 1457742678

  Dialysis facility

  Care Compare affiliation Name & address match
• Glendale Adventist Medical Center

  dba Adventist Health Glendale

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Care Compare affiliation
• Pasadena Hospital Association, LTD

  dba Huntington Hospital

  • General Acute Care Hospital
  • Pasadena, CA
  • NPI 1407828429
  Care Compare affiliation

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1700319837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL STE 250",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053149",
            "telephone_number": "951-203-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL STE 250",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053149",
            "telephone_number": "626-577-1675",
            "fax_number": "626-577-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "20A16814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Dong Hyun Kim, M.D.
• Linda S Kim
• Lisa Jayi Kim, PHARMD
• Lucas Kim, MD
• Mark Joong-Pyoung Kim, DPT
• Mi Ae Kim, LMFT
• Michael Duckhyun Kim, D.D.S
• Michelle Kim, PHARMD
• Michelle Heejung Kim, LMFT
• Michelle Kyongah Kim, DDS

• Nephrology Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.