DR. SOYUN KIM M.D.
NPI 1194977413
Student in an Organized Health Care Education/Training Program in Sylmar, CA
About Dr. Soyun Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SOYUN KIM M.D. (NPI 1194977413) is an individual student in an organized health care education/training program in Sylmar, California and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (2008).
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 and accepts Medicare assignment
Dr. Soyun Kim M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Soyun Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clarita, CA 91387
- Reassigned Medicare billing, California enrollment
- 13,921 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
SYLMAR, CA 91342
SYLMAR, CA 91342
SYLMAR, CA 91342
SYLMAR, CA 91342
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 Soyun Kim's NPI number?
The NPI number for Soyun Kim is 1194977413. It was assigned to this individual provider in the NPPES registry on October 17, 2008.
Where is Soyun Kim located?
Soyun Kim practices at 14445 Olive View Drive, Sylmar, CA 91342. The listed phone number is (818) 364-3107.
What is Soyun Kim's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Soyun Kim enrolled in Medicare?
Yes. Soyun Kim 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 Soyun Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Soyun Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Santa Clarita, 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 Soyun 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 Soyun Kim was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Soyun Kim, M.D. · NPI 1194977413
Student in an Organized Health Care Education/Training Program provider in Sylmar, California. Individual provider, active in the CMS NPPES registry since October 17, 2008.
## Identity
- **NPI:** 1194977413 (Entity type: Individual)
- **Enumerated:** October 17, 2008
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14445 OLIVE VIEW DRIVE, Sylmar, CA 91342
- **Phone:** (818) 364-3107
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1316409410, Santa Clarita, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Warren Alpert Medical School Of Brown University, class of 2008
## Record status
- **NPPES last updated:** October 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1194977413) · Data from the CMS NPPES public registry.