ANGELO KIM M.D. – NPI #1114212743
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

ANGELO KIM is a physician located in PALMDALE, CA. NPPES has assigned the NPI number 1114212743 to ANGELO KIM on June 11, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 2 years ago on Jun 06, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANGELO KIM below.

NPI Profile for
ANGELO KIM

NPI Number
1114212743
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ANGELO KIM
Credentials
M.D.
Primary location
38600 MEDICAL CENTER DRIVE,
PALMDALE, CA 93551
Phone: (661) 382-5000 Fax:
Mailing address
27404 N. EVAN LN
#102
SANTA CLARITA, CA 91387
Phone: (661) 434-5987 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jun 06, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
NV 16843

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ANGELO KIM is affiliated with the following medical group(s):
  • HOSPITAL
    • SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA
      102 E LAKE MEAD DR
      HENDERSON, NV 89015
    • SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS
      8280 W WARM SPRINGS ROAD
      LAS VEGAS, NV 89113
    • SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS
      3001 ST ROSE PARKWAY
      HENDERSON, NV 89052

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.