MS. CHANYOUNG KIM
NPI 1003310517
Nurse Practitioner - Primary Care in Los Angeles, CA
About Ms. Chanyoung Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CHANYOUNG KIM (NPI 1003310517) is an individual primary care provider in Los Angeles, California, licensed in California (95004688) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Chanyoung Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Chanyoung Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90004
- Reassigned Medicare billing, California enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Chanyoung Kim's NPI number?
The NPI number for Chanyoung Kim is 1003310517. It was assigned to this individual provider in the NPPES registry on March 20, 2018.
Where is Chanyoung Kim located?
Chanyoung Kim practices at 266 S Harvard Blvd Ste 100, Los Angeles, CA 90004. The listed phone number is (213) 381-8668.
What is Chanyoung Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Chanyoung Kim enrolled in Medicare?
Yes. Chanyoung Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Chanyoung Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chanyoung Kim reassigns Medicare benefits to Y J Lee MD Corp (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chanyoung Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Chanyoung Kim was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Chanyoung Kim · NPI 1003310517
Primary Care physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 20, 2018.
## Identity
- **NPI:** 1003310517 (Entity type: Individual)
- **Enumerated:** March 20, 2018
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95004688 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 266 S HARVARD BLVD STE 100, Los Angeles, CA 90004-4374
- **Phone:** (213) 381-8668
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Y J Lee MD Corp (NPI 1336581123, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1003310517) · Data from the CMS NPPES public registry.