ERICA YENA KIM
NPI 1154023141
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 21, 2023PECOS Enrolled

2315 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-2428 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 10, 2024, Mar 21, 2023 (2 updates tracked since 2023).

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About Erica Yena Kim NPPES

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

ERICA YENA KIM (NPI 1154023141) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154023141

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameERICA YENA KIM

Location Address2315 STOCKTON BLVDSacramento, CA 95817-2201

Mailing Address2516 Stockton BlvdSacramento, CA 95817-2208 · (916) 734-2428

Phone(916) 734-2428

Sole ProprietorYes

Enumeration DateMarch 21, 2023

Last NPPES UpdateMay 10, 20242 updates tracked since enumeration

NPPES CertifiedMay 10, 2024

✔ NPI 1154023141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2315 STOCKTON BLVD, Sacramento, CA 95817

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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)

Erica Yena Kim 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.