SOMIN KIM
NPI 1164026753
Marriage & Family Therapist in Burbank, CA
About Somin Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOMIN KIM (NPI 1164026753) is an individual marriage & family therapist in Burbank, California, licensed in California (144902) and active in the NPI registry since November 2020. 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)
Somin Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Somin Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURBANK, CA 91502
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 Somin Kim's NPI number?
The NPI number for Somin Kim is 1164026753. It was assigned to this individual provider in the NPPES registry on November 24, 2020.
Where is Somin Kim located?
Somin Kim practices at 1201 S Victory Blvd Ste 206, Burbank, CA 91502. The listed phone number is (818) 639-3003.
What is Somin Kim's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Somin Kim enrolled in Medicare?
Yes. Somin Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Somin Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Somin Kim reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, 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 Somin 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 Somin Kim was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Somin Kim · NPI 1164026753
Marriage & Family Therapist provider in Burbank, California. Individual provider, active in the CMS NPPES registry since November 24, 2020.
## Identity
- **NPI:** 1164026753 (Entity type: Individual)
- **Enumerated:** November 24, 2020
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 144902 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1201 S VICTORY BLVD STE 206, Burbank, CA 91502-2552
- **Phone:** (818) 639-3003
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164026753) · Data from the CMS NPPES public registry.