Individual provider Active NPI

Ashley Kim

  • Surgical Physician Assistant
  • Beverly Hills, CA
National Provider Identifier
1760265367
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
433 N Camden Dr Ste 805
Beverly Hills, CA 90210-4412
Phone
(310) 550-7661
Fax
(310) 550-1920
NPI assigned
Aug 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X CA Primary

Addresses

Primary practice location

433 N Camden Dr Ste 805
Beverly Hills, CA 90210-4412

Mailing address

3345 Wilshire Blvd Apt 813
Los Angeles, CA 90010-1818
Phone (818) 389-2601

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240724003280 CA Practitioner - Physician Assistant 1153867288 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Dermatology Associates, Inc.Group PAC ID 1052418175, 118 clinicians

Practice addresses (Care Compare)

135 Macaw LN
Suite 200
Simi Valley, CA 93065-3153
Phone (805) 522-3300

2802 Pacific Coast Hwy
Torrance, CA 90505-6702
Phone (310) 274-5372

77 Rolling Oaks Dr
Suite 207
Thousand Oaks, CA 91361-1019
Phone (805) 496-9190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Dermatology Associates, Inc. CurrentSince Jul 27, 2025 Accepting new patients
BH Dermatology Management Inc. CurrentSince Jan 14, 2024 Accepting new patients
Beverly Hills Dermatology Surgery Center PastSince Jan 14, 2024 Accepting new patients
Advanced Dermatology Surgery Center, Inc Past Accepting new patients

Locations

433 N Camden Dr
Ste 805
Beverly Hills, CA 90210
Phone (310) 550-7661

1200 Central Blvd
Ste D
Brentwood, CA 94513
Phone (925) 308-9510

135 Macaw Ln
#200
Simi Valley, CA 93065
Phone (805) 522-3300

3959 Laurel Canyon Blvd
Ste F
Studio City, CA 91604
Phone (818) 505-9300

77 Rolling Oaks Dr
Ste 207
Thousand Oaks, CA 91361
Phone (805) 496-9190

2802 Pacific Coast Hwy
Torrance, CA 90505
Phone (310) 274-5372

370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1760265367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 WILSHIRE BLVD APT 813",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101818",
            "telephone_number": "818-389-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N CAMDEN DR STE 805",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104412",
            "telephone_number": "310-550-7661",
            "fax_number": "310-550-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.