JUNG YUN KIM NP
NPI 1194125807
Nurse Practitioner - Psychiatric/Mental Health in Santa Ana, CA

Q: What is Jung Kim's NPI number?

The NPI number for Jung Kim is 1194125807. It was assigned to this individual provider in the NPPES registry on August 29, 2014.

Q: What is Jung Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jung Kim was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 29, 2014PECOS EnrolledAccepts Medicare Assignment

520 N MAIN ST STE 220, SANTA ANA, CA 92701(562) 862-3684(657) 205-6066 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2026, Dec 3, 2025, Jun 20, 2019 and 1 more (4 updates tracked since 2019).

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About Jung Yun Kim Np NPPES

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

JUNG YUN KIM NP (NPI 1194125807) is an individual psychiatric/mental health provider in Santa Ana, California, licensed in California (95001064) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1194125807

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJUNG YUN KIMCredential: NP

Location Address520 N MAIN ST STE 220Santa Ana, CA 92701-4623

Mailing Address520 N Main St Ste 220Santa Ana, CA 92701-4623 · (562) 862-3684 · Fax (657) 205-6066

Phone(562) 862-3684

Fax(657) 205-6066

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 29, 2014

Last NPPES UpdateMay 21, 20264 updates tracked since enumeration

NPPES CertifiedMay 21, 2026

✔ NPI 1194125807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95001064

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 95001064 (CA)

520 N MAIN ST STE 220, Santa Ana, CA 92701

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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

Jung Yun Kim Np 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 ID9133432024

PECOS Enrollment IDI20210329001159

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 Reassignments

Medicare enrollment records show Jung Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Access Community Health Center

Same address

Federally Qualified Health Center (FQHC)

520 N MAIN ST STE 120
Santa Ana, CA 92701

Reassigned Medicare billing, California enrollment
35 clinicians in this Medicare group

NPI 1184234726 (714) 352-5800

Albion Medical Partners Of California West P C

14 mi

Internal Medicine

12900 PARK PLAZA DR, STE 700, MS-7110
Cerritos, CA 90703

Reassigned Medicare billing, California enrollment
235 clinicians in this Medicare group

NPI 1073110607 (562) 622-2800

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 92701 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WEIMING DAVID CHU M.D.

Psychiatry & Neurology (Psychiatry)