GRACE KIM
NPI 1538052196
Dentist - General Practice in San Pedro, CA
NPI Status: Active since June 02, 2025
Contact Information
425 S PACIFIC AVE
SAN PEDRO, CA
ZIP 90731
Phone: (310) 547-0202
- Individual
- Female
- Dentist
- General Practice
About GRACE KIM
This page provides the complete NPI Profile along with additional information for Grace Kim, a provider established in San Pedro, California with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1538052196 assigned on June 2025. The practitioner's primary taxonomy code is 1223G0001X with license number 111597 (CA). The provider is registered as an individual and her NPI record was last updated June 2025.
- NPI
- 1538052196
- Provider Name
- GRACE KIM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 425 S PACIFIC AVE SAN PEDRO, CA 90731
- Location Phone
- (310) 547-0202
- Mailing Address
- 205D EVANS ST APT 4 BUFFALO, NY 14221
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-02-2025
- Last Update Date
- 06-02-2025
- Code Navigator
A dentist like Grace Kim is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 111597
- License State
- CA
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 0 | 5 | 2 | 1 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 0 | 5 | 4 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 0 + 5 + 4 + 1 + 1 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1538052196 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831739614 | HARBOR COMMUNITY CLINIC INC Organization | Pediatrics | 425 S PACIFIC AVE SAN PEDRO, CA 90731 (310) 547-0202 |
| 1104406123 | DR. MAILE STEPHANIE OSBORNE DDS Individual | Dentist (General Practice) | 425 S PACIFIC AVE SAN PEDRO, CA 90731 (310) 547-0202 |
| 1568090132 | JEFFREY RAMIREZ MD Individual | Pediatrics | 425 S PACIFIC AVE SAN PEDRO, CA 90731 (310) 547-0202 |
| 1831826106 | MS. FOYA TAVANGARY PA Individual | Physician Assistant | 425 S PACIFIC AVE SAN PEDRO, CA 90731 (310) 547-0202 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538052196, enumerated in the NPI registry as an "individual" on June 02, 2025
The provider is located at 425 S Pacific Ave San Pedro, Ca 90731 and the phone number is (310) 547-0202
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
This NPI record was last updated on June 02, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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