David Kim, AGACNP-BC - Medicare Nurse Practitioner in Lake Balboa, CA

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David Kim, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Lake Balboa, California. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Eastern Ventura Medical Group Inc, Southern California Permanente Medical Group and his current practice location is 16723 Vanowen St, Lake Balboa, California. You can reach out to his office (for appointments etc.) via phone at (818) 279-1745.

David Kim is licensed to practice in California (license number 95021554) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447967682.

Contact Information

David Kim, AGACNP-BC
16723 Vanowen St,
Lake Balboa, CA 91406-4638
(818) 279-1745
Not Available

Map and Direction




Provider's Profile

Full NameDavid Kim
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location16723 Vanowen St, Lake Balboa, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Kim graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1447967682
  • Provider Enumeration Date: 10/27/2022
  • Last Update Date: 12/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0042678740
  • Enrollment ID: I20230627002360

Medical Identifiers

Medical identifiers for David Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447967682NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 95021554 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eastern Ventura Medical Group Inc49816287083
Southern California Permanente Medical Group600272917511250

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. David Kim allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameEastern Ventura Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417900788
PECOS PAC ID: 4981628708
Enrollment ID: O20060607000149
Entity NameMend Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467849745
PECOS PAC ID: 6406160803
Enrollment ID: O20150729008949

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. David 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
David Kim, AGACNP-BC
16723 Vanowen St,
Lake Balboa, CA 91406-4638

Ph: (818) 279-1745		David Kim, AGACNP-BC
16723 Vanowen St,
Lake Balboa, CA 91406-4638

Ph: (818) 279-1745

Reviews and Comments


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Phone: 818-741-7436    
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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.