YEON KIM PA-C
NPI 1063982981
Physician Assistant - Medical in San Francisco, CA

Q: What is Yeon Kim's NPI number?

The NPI number for Yeon Kim is 1063982981. It was assigned to this individual provider in the NPPES registry on December 4, 2018.

Q: What is Yeon Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Yeon Kim was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since December 04, 2018PECOS Enrolled

28 GEARY ST STE 650, SAN FRANCISCO, CA 94108(628) 215-1120 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 24, 2025, Jul 29, 2020, Dec 4, 2018 (3 updates tracked since 2018).

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About Yeon Kim Pa-c NPPES

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

YEON KIM PA-C (NPI 1063982981) is an individual medical provider in San Francisco, California, licensed in Pennsylvania (MA060272) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063982981

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameYEON KIMCredential: PA-C

Location Address28 GEARY ST STE 650San Francisco, CA 94108-5700

Mailing Address720 Knollwood LnSan Dimas, CA 91773-3617

Phone(628) 215-1120

Sole ProprietorNo

Enumeration DateDecember 4, 2018

Last NPPES UpdateJuly 23, 20253 updates tracked since enumeration

NPPES CertifiedJuly 23, 2025

✔ NPI 1063982981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA060272

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MA060272 (PA)

28 GEARY ST STE 650, San Francisco, CA 94108

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yeon Kim Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Yeon Kim's NPI number?

The NPI number for Yeon Kim is 1063982981. It was assigned to this individual provider in the NPPES registry on December 4, 2018.

Where is Yeon Kim located?

Yeon Kim practices at 28 Geary St Ste 650, San Francisco, CA 94108. The listed phone number is (628) 215-1120.

What is Yeon Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Yeon Kim enrolled in Medicare?

Yes. Yeon Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yeon Kim was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.