Individual provider Active NPI

Yuri Kim, D.O.

  • Dermatology Physician
  • Pasadena, CA
National Provider Identifier
1841606076
Registry record updated Apr 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A15354 Issued in CA
Practice address
10 Congress St Ste 350
Pasadena, CA 91105-3020
Phone
(626) 509-9449
Fax
(309) 305-3542
NPI assigned
Jul 9, 2014
Last updated
Apr 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 20A15354 CA Primary
Procedural Dermatology Physician 207NS0135X 20A15354 CA

Addresses

Primary practice location

10 Congress St Ste 350
Pasadena, CA 91105-3020

Mailing address

235 S San Pedro St Apt 620
Los Angeles, CA 90012-3584

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
I20170728002300 CA Practitioner - Dermatology 1052682754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Congress St
Suite 350
Pasadena, CA 91105-3020
Phone (626) 509-9449

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision106
Removal of skin lesions1764
Removal or shaving of skin growth33
Skin biopsy1175

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A15354CAMDProcedural Dermatology Physician
15354CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yuri M. Kim, D.O., P.C. Dermatology CurrentSince May 1, 2020 Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

10 Congress St
Ste 350
Pasadena, CA 91105
Phone (626) 509-9449

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587859200000",
    "number": "1841606076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S SAN PEDRO ST APT 620",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST STE 350",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053020",
            "telephone_number": "626-509-9449",
            "fax_number": "309-305-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YURI",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A15354",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "20A15354",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.