PETER KIM MD INC
PETER KIM MD INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1760411946, based in Simi Valley, CA. The organization lists 3 taxonomy classifications, with Neurology Physician recorded as primary.
Getting there
The practice address on file is 1195 ROADRUNNER WAY, Simi Valley, CA 93065. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| A67819 | CA | Neuromuscular Medicine (Psychiatry &… |
| A67819 | CA | Clinical Neurophysiology Physician |
| A67819 | CA | Neurology Physician primary |
This provider holds licence A67819 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0840398913
- Enrollment ID
- O20070613000494
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. 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.
What Neurology covers
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NUCC Health Care Provider Taxonomy, code 2084N0400X
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.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2084N0008X | Neuromuscular Medicine (Psychiatry & Neurology) Physician Neuromuscular Medicine | A67819 | CA | |
| 2084N0600X | Clinical Neurophysiology Physician Clinical Neurophysiology | A67819 | CA | |
| 2084N0400X | Neurology Physician Neurology | A67819 | CA | primary |
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-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1760411946 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 1, 2006 |
| Last updated | Feb 12, 2013 |
| Status | Active |
| Practice address |
1195 ROADRUNNER WAY Simi Valley, CA 93065 (805) 579-8892 Fax (805) 579-8951 |
| Other identifiers |
00A678190
· Medicaid (CA) 609916600 · Other (CA) ZZZ50179Z · Other (CA) |
Number check
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 | 7 | 6 | 0 | 4 | 1 | 1 | 9 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 3 | 0 | 8 | 1 | 2 | 9 | 8 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
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.