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SOPHIA SING KUI KONG PMHNP-BC
NPI 1053119768
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since March 06, 2025PECOS EnrolledAccepts Medicare Assignment
995 GATEWAY CENTER WAY STE 106&101, SAN DIEGO, CA 92102(619) 772-2579 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2026, Mar 6, 2025 (2 updates tracked since 2025).

About Sophia Sing Kui Kong Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOPHIA SING KUI KONG PMHNP-BC (NPI 1053119768) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (NP95033810) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053119768
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSOPHIA SING KUI KONGCredential: PMHNP-BC
Location Address995 GATEWAY CENTER WAY STE 106&101San Diego, CA 92102-4500
Mailing Address9374 Twin Trails Dr Unit 204San Diego, CA 92129-2668 · (415) 632-7306
Phone(619) 772-2579
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 6, 2025
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1053119768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · NP95033810
995 GATEWAY CENTER WAY STE 106&101, San Diego, CA 92102
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sophia Sing Kui Kong Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284153560
PECOS Enrollment IDI20250529002603
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sophia Kong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Post Acute Behavioral Health
1,064 mi
Psychiatry
11120 NE 33RD PL STE 202
Bellevue, WA 98004
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
NPI 1972339737 (206) 823-1004

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 92102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sophia Kong's NPI number?

The NPI number for Sophia Kong is 1053119768. It was assigned to this individual provider in the NPPES registry on March 6, 2025.

Where is Sophia Kong located?

Sophia Kong practices at 995 Gateway Center Way Ste 106&101, San Diego, CA 92102. The listed phone number is (619) 772-2579.

What is Sophia Kong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sophia Kong enrolled in Medicare?

Yes. Sophia Kong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sophia Kong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Kong reassigns Medicare benefits to Post Acute Behavioral Health (Bellevue, WA). 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 Sophia Kong'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 Sophia Kong was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.