DR. TAE SUN KIM M.D. NPI 1366578049

NPI Information

  • NPI: 1366578049
  • Provider Name: DR. TAE SUN KIM, M.D.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11829 SOUTH ST
    SUITE 202
    CERRITOS, CA
    ZIP 90703
  • Phone: (562) 402-4720

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NPI Details

DR. Tae Sun Kim, M.D. is an ophthalmology in Cerritos, CA with 36 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Tae Sun Kim, M.D. NPI is 1366578049. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

11829 SOUTH ST
SUITE 202
CERRITOS, CA
ZIP 90703-828
Phone: (562) 402-4720
Fax: (562) 402-9231

The NPI 1366578049 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Extended exam of the back part of the eye with retinal drawing (HCPCS:92201)
  • Imaging of optic nerve (HCPCS:92133)
  • Exam of visual field with extended testing (HCPCS:92083)
  • New patient complete exam of visual system (HCPCS:92004)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Measurement of corneal curvature and depth of eye (HCPCS:92136)
  • Closure of tear duct opening using plug (HCPCS:68761)
  • Imaging of retina (HCPCS:92134)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Removal of eyelashes using forceps (HCPCS:67820)
  • Measurement of corneal pressure (HCPCS:92145)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 2/26/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyG81760CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W15275MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2F96402MEDICARE UPINCALIFORNIA
3GR0091370MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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