Peter Kim Md Inc - Medicare Mental Health Clinic in Simi Valley, CA

Peter Kim Md Inc is a medicare enrolled mental health clinic (Psychiatry & Neurology - Neurology) in Simi Valley, California. The current practice location for Peter Kim Md Inc is 1195 Roadrunner Way, Simi Valley, California. For appointments, you can reach them via phone at (805) 579-8892. The mailing address for Peter Kim Md Inc is 1195 Roadrunner Way, Simi Valley, California and phone number is (805) 579-8892.

Peter Kim Md Inc is licensed to practice in California (license number A67819). The clinic also participates in the medicare program and its NPI number is 1760411946. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (805) 579-8892.

Contact Information

Peter Kim Md Inc
1195 Roadrunner Way
Simi Valley
CA 93065-1210
(805) 579-8892
(805) 579-8951

Map and Direction


Mental Health Clinic Profile

Full NamePeter Kim Md Inc
SpecialityPsychiatry & Neurology
Location1195 Roadrunner Way, Simi Valley, California
Authorized Official Name and PositionPeter K Kim (PRESIDENT)
Authorized Official Contact8055798892
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Peter Kim Md Inc
1195 Roadrunner Way
Simi Valley
CA 93065-0000

Ph: (805) 579-8892
Peter Kim Md Inc
1195 Roadrunner Way
Simi Valley
CA 93065-1210

Ph: (805) 579-8892

NPI Details:

NPI Number1760411946
Provider Enumeration Date07/01/2006
Last Update Date02/12/2013

Medicare PECOS Information:

Medicare PECOS PAC ID0840398913
Medicare Enrollment IDO20070613000494

Medical Identifiers

Medical identifiers for Peter Kim Md Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760411946NPI-NPPES
00A678190MedicaidCA
ZZZ50179ZOtherCABLUE SHIELD OF CA
609916600OtherCAACS FECA ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0008XPsychiatry & Neurology - Neuromuscular Medicine A67819 (California)Secondary
2084N0400XPsychiatry & Neurology - Neurology A67819 (California)Primary
2084N0600XPsychiatry & Neurology - Clinical Neurophysiology A67819 (California)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Peter Kim Md Inc acts as a billing entity for following providers:
Provider NamePeter K Kim
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1053534610
PECOS PAC ID: 2466348537
Enrollment ID: I20040225000674

Reviews and Comments

Psychiatry & Neurology in Simi Valley, CA

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Advanced Neuro Management Services, Inc.
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Practice Location: 2655 1st St, Suite 250, Simi Valley, CA 93065
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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.