SANDRA YU KIM FNP, RN, PHN
NPI 1306355698
Nurse Practitioner - Family in Los Alamitos, CA

Active since September 29, 2017PECOS EnrolledAccepts Medicare Assignment
3801 KATELLA AVE STE 330, LOS ALAMITOS, CA 90720(562) 594-9546 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2021, Apr 11, 2018 (2 updates tracked since 2018).

About Sandra Yu Kim Fnp, Rn, Phn NPPES

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

SANDRA YU KIM FNP, RN, PHN (NPI 1306355698) is an individual family provider in Los Alamitos, California, licensed in California (95018326) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306355698
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANDRA YU KIMCredential: FNP, RN, PHN
Location Address3801 KATELLA AVE STE 330Los Alamitos, CA 90720-6900
Mailing Address3801 Katella Ave Ste 330Los Alamitos, CA 90720-6900 · (562) 594-9546
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 29, 2017
Last NPPES UpdateSeptember 8, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
NPI 1306355698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95018326
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License 95107459 (CA)
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 95107459 (CA)
3801 KATELLA AVE STE 330, Los Alamitos, CA 90720

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sandra Yu Kim Fnp, Rn, Phn 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 ID9335538545
PECOS Enrollment IDI20211109002992
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90720 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

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

Marriage & Family Therapist
3801 KATELLA AVE STE 330
LOS ALAMITOS, CA 90720

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 Sandra Kim's NPI number?

The NPI number for Sandra Kim is 1306355698. It was assigned to this individual provider in the NPPES registry on September 29, 2017.

Where is Sandra Kim located?

Sandra Kim practices at 3801 Katella Ave Ste 330, Los Alamitos, CA 90720. The listed phone number is (562) 594-9546.

What is Sandra Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sandra Kim enrolled in Medicare?

Yes. Sandra 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.

When was this NPI record last updated?

The NPPES record for Sandra Kim was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.