SANDRA YU KIM FNP, RN, PHN
NPI 1306355698
Nurse Practitioner - Family in Los Alamitos, CA
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
Specialties & Licenses 3
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Sandra Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Alamitos, CA 90720
- Reassigned Medicare billing, California enrollment
- 279 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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Sandra Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Kim reassigns Medicare benefits to Prohealth Partners A Medical Group Inc (Los Alamitos, 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 Sandra 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 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 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.
# Sandra Yu Kim, FNP, RN, PHN · NPI 1306355698
Family physician in Los Alamitos, California. Individual provider, active in the CMS NPPES registry since September 29, 2017.
## Identity
- **NPI:** 1306355698 (Entity type: Individual)
- **Enumerated:** September 29, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95018326 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3801 KATELLA AVE STE 330, Los Alamitos, CA 90720-6900
- **Phone:** (562) 594-9546
## 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:** Prohealth Partners A Medical Group Inc (NPI 1811020639, Los Alamitos, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1306355698) · Data from the CMS NPPES public registry.