RICHARD JAY KIM (M.D.) – Family Medicine Physician, NPI 1366427510

RICHARD JAY KIM (M.D.) is a healthcare provider. based in Los angeles, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. G83441 (CA). The NPI Number for RICHARD JAY KIM (M.D.) is 1366427510

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD JAY KIM (M.D.)
NPI
1366427510
Phone
(323) 634-3850
Address
335 N La Brea Ave
Enumeration Date
9 December 2005
Last Update Date
16 December 2019

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
8186595000
Graduation Year
1993 (33 years ago)
PAC ID
8729123419
Group Practice PAC ID
5294958815
Professional Enrollment ID
I20100305000369
Address ID
CA912013007GL1000XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,190 FAMILY PRACTICE in CA

Provider Addresses for RICHARD JAY KIM (M.D.)

  • 335 N La Brea Ave

    Los Angeles, CA 900362517

    Phone: (323) 634-3850

    Fax: (323) 938-9958

    Type: Location

  • 4323 W Riverside Dr

    Burbank, CA 915054044

    Phone: (818) 556-2700

    Fax: (818) 295-3450

    Type: Location

  • 26585 Agoura Rd Ste 330

    Calabasas, CA 913021958

    Phone: (818) 876-1050

    Fax: (818) 876-1026

    Type: Location

  • McBean Parkway, Valencia, Santa Clarita, Los Angeles County, California, 91355, United States

    VALENCIA, CA 913553701

    Phone: (661) 284-3100

    Fax: (661) 290-3310

    Type: Location

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100305000369IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes11554$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2120$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1919$0
36415Insertion of needle into vein for collection of blood sample1919$0
90662Influenza vaccine split virus, preservative free1414$0
View full utilization report →

Insurance plans in this area (ZIP 90036)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294958815View full group profile
NameSpecialtyState
-CA
Occupational Therapist In Private PracticeCA
Family Practice, Sports MedicineCA
-CA
-CA
Family PracticeCA
Internal Medicine, Geriatric MedicineCA
Family PracticeCA
-CA
Internal MedicineCA

Reviews

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Frequently asked questions

How do payers reference RICHARD JAY KIM (M.D.)?
For RICHARD JAY KIM (M.D.), use NPI 1366427510 as the unique 10-digit identifier.
Is RICHARD JAY KIM (M.D.) shown as active in public data?
Registry records indicate RICHARD JAY KIM (M.D.) maintains an active NPI.
What expertise is attributed to RICHARD JAY KIM (M.D.)?
RICHARD JAY KIM (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is RICHARD JAY KIM (M.D.) located near Los Angeles?
RICHARD JAY KIM (M.D.) currently maps to Los Angeles, California in this extract.
Can I trust this NPI listing for RICHARD JAY KIM (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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