Individual provider

Jim Kim, M.D.

Transplant Surgery Physician Surgery Physician Medicare enrolled

Jim Kim, M.D. is a Transplant Surgery Physician in Los Angeles, CA, registered under NPI 1174602817. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1516 SAN PABLO ST FL 2, Los Angeles, CA 90033. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1516 SAN PABLO ST FL 2, Los Angeles, CA 90033 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
A86557 CA Transplant Surgery Physician primary
53104-020 WI Surgery Physician
263904 NY Transplant Surgery Physician

Licences are recorded in 3 states: CA, WI, NY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - General Surgery
PAC ID
4587670575
Enrollment ID
I20060228000683

Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: California, New York and Wisconsin. The practice address on file is in Los Angeles, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California practice address
Licence
A86557
Specialty
Transplant Surgery Physician
Verify with the CA board →
NY New York
Licence
263904
Specialty
Transplant Surgery Physician
Verify with the NY board →
WI Wisconsin
Licence
53104-020
Specialty
Surgery Physician
Verify with the WI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Transplant Surgery covers

A surgeon who specializes in transplant surgery. NUCC Health Care Provider Taxonomy, code 204F00000X
Allopathic & Osteopathic Physicians Transplant Surgery

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
204F00000X Transplant Surgery Physician A86557 CA primary
208600000X Surgery Physician 53104-020 WI
204F00000X Transplant Surgery Physician 263904 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1174602817 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 3, 2006
Last updatedNov 27, 2023
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 1516 SAN PABLO ST FL 2
Los Angeles, CA 90033
(323) 442-5908
Mailing address PO BOX 31309
Los Angeles, CA 90031
This record was updated on Nov 27, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1174602817 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 7 4 6 0 2 8 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 5 4 3 0 4 8 2

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1174602817?
NPI 1174602817 is the National Provider Identifier assigned to Jim Kim, M.D. in Los Angeles, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Transplant Surgery Physician cover?
A surgeon who specializes in transplant surgery.
How do I contact Jim Kim, M.D.?
The phone number on file with NPPES is (323) 442-5908, last updated Nov 27, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jim Kim, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1174602817 a valid number?
Yes. 1174602817 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.