Mr David Dae-young Kim, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Port Ranch, California. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Hematology/oncology. He is a member of the group practice The Regents Of The University Of California and his current practice location is
19950 Rinaldi St, Suite 310, Port Ranch, California. You can reach out to his office (for appointments etc.) via phone at
(818) 271-2500.
Mr David Dae-young Kim is licensed to practice in California (license number A91389) 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 1558505321.
Physician's Profile
Full Name | Mr David Dae-young Kim |
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Gender | Male |
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Speciality | Hematology/oncology |
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Experience | 21 Years |
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Location | 19950 Rinaldi St, Suite 310, Port Ranch, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr David Dae-young Kim graduated from medical school in 2003
NPI Data:
- NPI Number: 1558505321
- Provider Enumeration Date: 04/24/2009
- Last Update Date: 11/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 6204989569
- Enrollment ID: I20090804000302
Medical Identifiers
Medical identifiers for Mr David Dae-young Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558505321 | NPI | - | NPPES |
1902108293 | Medicaid | CA | |
1558505321 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RH0003X | Internal Medicine - Hematology & Oncology | A91389 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
The Regents Of The University Of California | 1355248584 | 1170 |
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 Dae-young Kim allows following entities to bill medicare on his behalf.
Entity Name | The Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439 |
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Entity Name | Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366789307 PECOS PAC ID: 6204073448 Enrollment ID: O20130508000170 |
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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 Dae-young 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 Address | Practice Location Address |
Mr David Dae-young Kim, MD 19950 Rinaldi St, Suite 310, Porter Ranch, CA 91326 Ph: (818) 271-2500 | Mr David Dae-young Kim, MD 19950 Rinaldi St, Suite 310, Port Ranch, CA 91326 Ph: (818) 271-2500 |
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