CARLEN EVA KIM
NPI 1215188693
Audiologist in Thousand Oaks, CA
About Carlen Eva Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLEN EVA KIM (NPI 1215188693) is an individual audiologist in Thousand Oaks, California, licensed in California (AU2134) and active in the NPI registry since October 2008. She maintains a secondary practice location in Los Angeles.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carlen Eva Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carlen Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90066
- Reassigned Medicare billing, California enrollment
- 103 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
THOUSAND OAKS, CA 91360
THOUSAND OAKS, CA 91360
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 Carlen Kim's NPI number?
The NPI number for Carlen Kim is 1215188693. It was assigned to this individual provider in the NPPES registry on October 3, 2008. The provider is also known as Carlen Jurey Au.D..
Where is Carlen Kim located?
Carlen Kim practices at 100 Moody Ct Ste 110, Thousand Oaks, CA 91360. The listed phone number is (310) 825-5721.
What is Carlen Kim's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Carlen Kim enrolled in Medicare?
Yes. Carlen Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carlen Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlen Kim reassigns Medicare benefits to Regents Of The University Of California Los Angeles (Los Angeles, 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 Carlen 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 Carlen Kim was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Carlen Eva Kim · NPI 1215188693
Audiologist provider in Thousand Oaks, California. Individual provider, active in the CMS NPPES registry since October 3, 2008.
## Identity
- **NPI:** 1215188693 (Entity type: Individual)
- **Enumerated:** October 3, 2008
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** AU2134 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 MOODY CT STE 110, Thousand Oaks, CA 91360-6076
- **Phone:** (310) 825-5721
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Regents Of The University Of California Los Angeles (NPI 1609194497, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1215188693) · Data from the CMS NPPES public registry.