Grace Kim
NPI 1538052196 · General Practice Dentistry · San Pedro, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grace Kim is a General Practice Dentistry provider in San Pedro, CA (NPI 1538052196).
Provider details
- NPI number
- 1538052196
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 111597 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2025-06-02
- Last updated
- 2025-06-02
- Certified
- 2025-05-12
Frequently asked questions
- What is Grace Kim's NPI number?
- Grace Kim's National Provider Identifier (NPI) is 1538052196, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Grace Kim's specialty?
- Grace Kim is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Grace Kim located?
- Grace Kim's practice location on file with NPPES is 425 S Pacific Ave, San Pedro, CA 90731-2625.
- What is Grace Kim's phone number?
- The practice phone number listed in the NPPES registry for Grace Kim is (310) 547-0202.
- Does Grace Kim accept Medicare?
- Grace Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Grace Kim's NPI active?
- Yes — Grace Kim's NPI (1538052196) is active in the NPPES registry as of the last update on 2025-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.