Pacific Senior Medical Group

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

PACIFIC SENIOR MEDICAL GROUP

Practice address

520 S Virgil Ave Ste 106
Los Angeles, CA 90020-1417

Phone

(213) 234-5575

NPI assigned

Jan 30, 2026

Organization subpart

No

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

Authorized official

Name

Kenneth K Kim, MDNPI 1295776474

Title

President

Phone

(213) 234-5575

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth K Kim, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1295776474
  NPD Authorized official

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1831049618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201417",
            "telephone_number": "213-234-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SENIOR MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-234-5575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Recovery Solutions
• Pacific Recovery Solutions
• Pacific Recovery Solutions
• Pacific Rejuvenation Medical, a Professional Corp.
• Pacific Rim Electrophysiology Medical GRP, Inc.
• Pacific Sleep Medicine Services, Inc.
• Pacific Sleep Medicine, a Medical Corporation
• Pacific Specialists Imaging Inc
• Pacific Surgical Care
• Pacific Vascucare Surgery Center

• Health Maintenance Organization in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.