Organization Active NPI

David H. Kim M.D. Inc.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Huntington Beach, CA
National Provider Identifier
1972616142
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A82379 Issued in CA
Legal business name
DAVID H. KIM M.D. INC.
Practice address
19671 Beach Blvd Ste 315
Huntington Beach, CA 92648-5904
Phone
(714) 848-1911
Fax
(714) 841-6761
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Summer Bates
Title
Practice Manger
Phone
(714) 848-1911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0005X A82379 CA Primary

Addresses

Primary practice location

19671 Beach Blvd Ste 315
Huntington Beach, CA 92648-5904

Mailing address

19671 Beach Blvd Ste 315
Huntington Beach, CA 92648-5904
Phone (714) 848-1911

Other practice location 1

19582 Beach Blvd
Suite 120
Huntington Beach, CA 92648-2996
Phone (714) 848-1911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060919000230 CA Part B Supplier - Clinic/Group Practice 8325043771 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington Beach, CA
O20121127000452 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 8325043771 Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1972616142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19671 BEACH BLVD STE 315",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485904",
            "telephone_number": "714-848-1911",
            "fax_number": "714-841-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19671 BEACH BLVD STE 315",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485904",
            "telephone_number": "714-848-1911",
            "fax_number": "714-841-6761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19582 Beach Blvd",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926482996",
            "country_code": "US",
            "telephone_number": "714-848-1911",
            "fax_number": "714-841-6761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVID H. KIM M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "PRACTICE MANGER",
        "authorized_official_telephone_number": "714-848-1911"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A82379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.