Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013479997 Individual Practitioner Female Practitioner

Dr. Grace Charmie Kim , MD, MPP

Pediatrics • Mammoth Lakes, CA

Professional Overview & Biography Verified Profile Summary

Dr. Grace Kim, MD, MPP is a registered healthcare professional specializing in Pediatrics in Mammoth Lakes, CA. Practice services are available at 85 SIERRA PARK RD # A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

85 Sierra Park Rd # A

Mammoth Lakes, CA 935462073

Telephone 7609244000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mammoth Lakes, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Mammoth Lakes, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-16
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A178510

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

152 Pioneer Ln Ste H

Bishop, CA 935142563

Phone: 7608736373

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1063528362

Doctor of Medicine (M.D.)

NPI 1063568293

Doctor of Medicine (M.D.)

Dr. Nancy Akalin , PhD

Psychologist - Clinical

NPI 1861516494

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address June 16, 2025

Registered at 85 SIERRA PARK RD, MAMMOTH LAKES, CA 935462073

📍
Updated Practice Location July 07, 2023

Registered at 85 SIERRA PARK RD # A, MAMMOTH LAKES, CA 935462073 (Tel: 7609244000)

📍
Updated Business Mailing Address July 07, 2023

Registered at 5630 VENICE BLVD # 1037, LOS ANGELES, CA 900195127 (Tel: 2536534173)

📍
Updated Business Mailing Address July 11, 2022

Registered at 4700 W SUNSET BLVD FL 4, LOS ANGELES, CA 900276082

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2022

Pediatrics (License #A178510 in CA)

NPI Profile Active April 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2019

Registered at 757 WESTWOOD PLAZA, PEDIATRICS, LOS ANGELES, CA 900957419 (Tel: 3102679132)

📍
Updated Business Mailing Address April 01, 2019

Registered at 757 WESTWOOD PLAZA, PEDIATRICS, LOS ANGELES, CA 900957419 (Tel: 3102679132)

👤
Provider Name / Credentials Updated April 01, 2019

Recorded as GRACE KIM, MD, MPP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 01, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013479997
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2019
Last Update: June 16, 2025
Sole Proprietor: No

Mailing Address

85 Sierra Park Rd

Mammoth Lakes, CA 935462073

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.