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MR. SHAWN KIM
NPI 1316147754
Social Worker - Clinical in Covina, CA

Active since July 24, 2007PECOS Enrolled
1359 N GRAND AVE, COVINA, CA 91724(310) 534-1083 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2025, Dec 23, 2021 (2 updates tracked since 2021).

About Mr. Shawn Kim NPPES

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

MR. SHAWN KIM (NPI 1316147754) is an individual clinical provider in Covina, California, licensed in California (LCS28148) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316147754
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SHAWN KIM
Location Address1359 N GRAND AVECovina, CA 91724-1016
Mailing Address1359 N Grand AveCovina, CA 91724-1016 · (626) 430-2900
Phone(310) 534-1083
Sole ProprietorNo
Enumeration DateJuly 24, 2007
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1316147754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCS28148
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1359 N GRAND AVE, Covina, CA 91724
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Shawn Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shawn Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Los Angeles County Department Of Mental Health
Same address
Mental Health (Including Community Mental Health Center)
1359 N. GRAND AVE.
Covina, CA 91724
  • Reassigned Medicare billing, California enrollment
  • 533 clinicians in this Medicare group
NPI 1912381484 (626) 430-2900

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 91724 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
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 20

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

RAMON GONZALEZ
Rehabilitation Practitioner
1359 N GRAND AVE
COVINA, CA 91724
Los Angeles County (562) 500-9847
DR. MA'SHA SMITH PSYD, PPS
Psychologist
1359 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 430-2908
TRACY ORTEGA
Case Manager/Care Coordinator
1359 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 430-2906
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
1359 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 430-2900
ALISON CHING
Counselor (Mental Health)
1359 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 430-2961
MR. ERIK RAYMUNDO STONE BA
Student in an Organized Health Care Education/Training Program
1359 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 430-2900
MISS TIFFANY GRANJA
Social Worker (Clinical)
1359 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 430-2875
JACQUI CHENG
Marriage & Family Therapist
1359 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 430-2832

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 Shawn Kim's NPI number?

The NPI number for Shawn Kim is 1316147754. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Where is Shawn Kim located?

Shawn Kim practices at 1359 N Grand Ave, Covina, CA 91724. The listed phone number is (310) 534-1083.

What is Shawn Kim's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shawn Kim enrolled in Medicare?

Yes. Shawn Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shawn Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Kim reassigns Medicare benefits to Los Angeles County Department Of Mental Health (Covina, 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 Shawn 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 Shawn Kim was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.