Individual provider Active NPI

David O Kim, M.D.

  • Specialist
  • Torrance, CA
National Provider Identifier
1700992534
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A42356 Issued in CA
Practice address
3440 Lomita Blvd
Suite #446
Torrance, CA 90505-4801
Phone
(310) 326-2828
Fax
(310) 326-4817
NPI assigned
Aug 22, 2006
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A42356 CA Primary

Addresses

Primary practice location

3440 Lomita Blvd
Suite #446
Torrance, CA 90505-4801

Mailing address

3440 Lomita Blvd
Suite #446
Torrance, CA 90505-4801
Phone (310) 326-2828

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
I20090128000146 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 6103882816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David O Kim MD IncGroup PAC ID 7719261031, 2 clinicians

Practice addresses (Care Compare)

3440 Lomita Blvd
Suite 446
Torrance, CA 90505-4825
Phone (310) 326-2828

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy240
Upper gastrointestinal (GI) endoscopy for acid reflux228

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health System - Southern California Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dok103pcs@m1222.primeclinicalsystems.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1700992534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 LOMITA BLVD",
            "address_2": "SUITE #446",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054801",
            "telephone_number": "310-326-2828",
            "fax_number": "310-326-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 LOMITA BLVD",
            "address_2": "SUITE #446",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054801",
            "telephone_number": "310-326-2828",
            "fax_number": "310-326-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAVID",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A42356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.