Ted Kim
NPI 1174303713 · Physician Assistant · Santa Monica, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ted Kim is a Physician Assistant provider in Santa Monica, CA (NPI 1174303713).
Provider details
- NPI number
- 1174303713
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PA66314 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-02
- Last updated
- 2025-10-29
- Certified
- 2025-10-29
Frequently asked questions
- What is Ted Kim's NPI number?
- Ted Kim's National Provider Identifier (NPI) is 1174303713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ted Kim's specialty?
- Ted Kim is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ted Kim located?
- Ted Kim's practice location on file with NPPES is 2811 Wilshire Blvd Ste 414, Santa Monica, CA 90403-4804.
- What is Ted Kim's phone number?
- The practice phone number listed in the NPPES registry for Ted Kim is (310) 552-9999.
- Does Ted Kim accept Medicare?
- Ted Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ted Kim's NPI active?
- Yes — Ted Kim's NPI (1174303713) is active in the NPPES registry as of the last update on 2025-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.