Misun Maddy Kim, NP - Medicare Nurse Practitioner in Torrance, CA

Misun Maddy Kim, NP is a medicare enrolled "Nurse Practitioner - Family" in Torrance, California. She went to University Of California, Geffen School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Regents Of The University Of California and her current practice location is 3500 Lomita Blvd Ste 300, Torrance, California. You can reach out to her office (for appointments etc.) via phone at (310) 257-0028.

Misun Maddy Kim is licensed to practice in California (license number 95006988) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093225658.

Contact Information

Misun Maddy Kim, NP
3500 Lomita Blvd Ste 300,
Torrance, CA 90505-5038
(310) 257-0028
Not Available

Map and Direction




Provider's Profile

Full NameMisun Maddy Kim
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location3500 Lomita Blvd Ste 300, Torrance, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Misun Maddy Kim attended and graduated from University Of California, Geffen School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1093225658
  • Provider Enumeration Date: 10/09/2017
  • Last Update Date: 09/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8921353632
  • Enrollment ID: I20180621000892

Medical Identifiers

Medical identifiers for Misun Maddy Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093225658NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95006988 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Regents Of The University Of California13552485841177

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Misun Maddy Kim allows following entities to bill medicare on her behalf.
Entity NameThe Regents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235107566
PECOS PAC ID: 1355248584
Enrollment ID: O20031223000439
Entity NameSt Johns Community Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073653630
PECOS PAC ID: 2961482690
Enrollment ID: O20040722001434

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Misun Maddy Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Misun Maddy Kim, NP
5767 W Century Blvd Ste 400,
Los Angeles, CA 90045-5631

Ph: (310) 301-8707
Misun Maddy Kim, NP
3500 Lomita Blvd Ste 300,
Torrance, CA 90505-5038

Ph: (310) 257-0028

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.