NPIMap

Individual provider Active NPI

Abraham D Kim, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Laguna Woods, CA
National Provider Identifier
1902123789
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
A118721 Issued in CA
Practice address
24331 El Toro Rd Ste 200
Laguna Woods, CA 92637
Phone
(949) 586-3200
Fax
(949) 540-7138
NPI assigned
May 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X A118721 CA Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 261575 MA

Addresses

Primary practice location

24331 El Toro Rd Ste 200
Laguna Woods, CA 92637

Mailing address

24331 El Toro Rd Ste 200
Laguna Woods, CA 92637-3116
Phone (949) 586-3200

Other practice location 1

24331 El Toro Rd Ste 200
Laguna Woods, CA 92637
Phone (949) 586-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180308002492 CA Practitioner - Orthopedic Surgery 6204140908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Columbia University College of Physicians and Surgeons, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
OrthowestGroup PAC ID 3072932623, 48 clinicians

Practice addresses (Care Compare)

24331 El Toro Rd
Suite 200
Laguna Woods, CA 92637-3116
Phone (949) 586-3200

Hospital & facility affiliations

  • Mission Home Health of Irvine, LLC Home health agency, Irvine, CA, CCN 053149
  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Hoag Orthopedic Institute Hospital, Irvine, CA, CCN 050769
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678
  • Los Angeles General Medical Center Hospital, Los Angeles, CA, CCN 050373

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement59
Knee replacement44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A118721CAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthowest CurrentSince Jul 1, 2020 Accepting new patients
South County Orthopedic Specialists CurrentSince May 4, 2018 Accepting new patients
Orthowest Adult Reconstructive Orthopaedic Surgery CurrentSince Oct 31, 2019 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Hoag Orthopedic Institute LLC Past Accepting new patients

Locations

18785 Brookhurst St
Ste 100
Fountain Valley, CA 92708
Phone (714) 500-5056

18785 Brookhurst St
Fountain Valley, CA 92708
Phone (714) 975-1719

22 Odyssey
Irvine, CA 92618
Phone (949) 727-2192

22 Odyssey
Ste 205
Irvine, CA 92618
Phone (949) 870-3332

24331 El Toro Rd
Ste 200
Laguna Woods, CA 92637
Phone (949) 767-0800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: akim486460@direct.memorialcare.org

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1902123789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD STE 200",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373116",
            "telephone_number": "949-586-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD STE 200",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "92637",
            "telephone_number": "949-586-3200",
            "fax_number": "949-540-7138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24331 El Toro Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Laguna Woods",
            "state": "CA",
            "postal_code": "92637",
            "country_code": "US",
            "telephone_number": "949-586-3200",
            "fax_number": "949-540-7138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ABRAHAM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "A118721",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MA",
            "license": "261575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Woods, CA

Sources for this page

Verify at the official NPI Registry.