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DR. SONYA YOUNG KIM M.D., MBA
NPI 1225353022
Emergency Medicine - Sports Medicine in San Carlos, CA

Active since April 05, 2010Opted out of Medicare · through Jul 17, 2028
1 DEVONSHIRE BLVD APT 8, SAN CARLOS, CA 94070(415) 314-1005(888) 959-8346 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Apr 9, 2019 (2 updates tracked since 2019).

About Dr. Sonya Young Kim M.d., Mba NPPES

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

DR. SONYA YOUNG KIM M.D., MBA (NPI 1225353022) is an individual sports medicine provider in San Carlos, California, licensed in California (A79002) and active in the NPI registry since April 2010. She has opted out of Medicare through July 17, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225353022
Entity TypeIndividualFemale
Primary Taxonomy207PS0010X
Provider Legal NameDR. SONYA YOUNG KIMCredential: M.D., MBA
Location Address1 DEVONSHIRE BLVD APT 8San Carlos, CA 94070-1758
Mailing Address1 Devonshire Blvd Apt 8San Carlos, CA 94070-1758 · (415) 314-1005 · Fax (888) 959-8346
Phone(415) 314-1005
Fax(888) 959-8346
Sole ProprietorYes
Enumeration DateApril 5, 2010
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1225353022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
License✔ Licensed in CA · A79002
Definition
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
Also ListedEmergency MedicineTaxonomy 207P00000X · License A79002 (CA)
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License A79002 (CA)
Also ListedEmergency Medicine · Undersea and Hyperbaric MedicineTaxonomy 207PE0005X · License A79002 (CA)
Also ListedEmergency Medicine · Hospice and Palliative MedicineTaxonomy 207PH0002X · License A79002 (CA)
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License A79002 (CA)
Also ListedEmergency Medicine · Medical ToxicologyTaxonomy 207PT0002X · License A79002 (CA)
1 DEVONSHIRE BLVD APT 8, San Carlos, CA 94070
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Other Names 1

Former Name (1)Dr. Sonya Young Kim M.d.

Other Identifiers 2

OtherMD 12795HI · Hi State Medical License
OtherA79002CA · Ca State Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sonya Young Kim M.d., Mba has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 17, 2026 through July 17, 2028.

Opt-Out Effective DateJuly 17, 2026
Opt-Out In Effect ThroughJuly 17, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94070 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Sonya Kim's NPI number?

The NPI number for Sonya Kim is 1225353022. It was assigned to this individual provider in the NPPES registry on April 5, 2010. The provider is also known as Dr. Sonya Young Kim M.D..

Where is Sonya Kim located?

Sonya Kim practices at 1 Devonshire Blvd Apt 8, San Carlos, CA 94070. The listed phone number is (415) 314-1005.

What is Sonya Kim's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

Is Sonya Kim enrolled in Medicare?

No. Sonya Kim has opted out of Medicare through July 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sonya Kim was last updated on March 7, 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.