Mr David Y Kim, PA-C - Medicare Physician Assistant in Glendora, CA

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Mr David Y Kim, PA-C is a medicare enrolled "Physician Assistant" in Glendora, California. His current practice location is 1365 S Grand Ave, Glendora, California. You can reach out to his office (for appointments etc.) via phone at (626) 857-2580.

Mr David Y Kim is licensed to practice in California (license number PA17440) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922035948.

Contact Information

Mr David Y Kim, PA-C
1365 S Grand Ave,
Glendora, CA 91740-5047
(626) 857-2580
Not Available

Map and Direction




Provider's Profile

Full NameMr David Y Kim
GenderMale
SpecialityPhysician Assistant
Location1365 S Grand Ave, Glendora, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922035948
  • Provider Enumeration Date: 06/26/2006
  • Last Update Date: 03/10/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0345282422
  • Enrollment ID: I20050531000224

Medical Identifiers

Medical identifiers for Mr David Y Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922035948NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA17440 (California)Primary

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. Mr David Y Kim allows following entities to bill medicare on his behalf.
Entity NameHealthcare Partners Affiliates Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659312593
PECOS PAC ID: 7315842002
Enrollment ID: O20031204001258
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458
Entity NameSouth Coast Emergency Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831294594
PECOS PAC ID: 8628049608
Enrollment ID: O20040803001437
Entity NameAisthetikos Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295965440
PECOS PAC ID: 1759435324
Enrollment ID: O20090908000007
Entity NameLakeside Medical Organization a Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831426642
PECOS PAC ID: 7618005166
Enrollment ID: O20100505000015
Entity NameParker Valley Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467755249
PECOS PAC ID: 9436339108
Enrollment ID: O20110212000050
Entity NameCorona Regional Emergency Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134629298
PECOS PAC ID: 9133481484
Enrollment ID: O20180326001396

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. Mr David Y 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
Mr David Y Kim, PA-C
1365 S Grand Ave,
Glendora, CA 91740-5047

Ph: (626) 857-2580		Mr David Y Kim, PA-C
1365 S Grand Ave,
Glendora, CA 91740-5047

Ph: (626) 857-2580

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.