DR. KWANG HYUN KIM D.D.S.
NPI 1356437842
Dentist - General Practice in San Rafael, CA
About Dr. Kwang Hyun Kim D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KWANG HYUN KIM D.D.S. (NPI 1356437842) is an individual general practice provider in San Rafael, California, licensed in California (49563) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kwang Hyun Kim D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Kwang Kim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 34 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 29 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 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 94903 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.
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 Kwang Kim's NPI number?
The NPI number for Kwang Kim is 1356437842. It was assigned to this individual provider in the NPPES registry on October 4, 2006.
Where is Kwang Kim located?
Kwang Kim practices at 670 Las Gallinas Ave, San Rafael, CA 94903. The listed phone number is (415) 479-8166.
What is Kwang Kim's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Kwang Kim enrolled in Medicare?
Yes. Kwang Kim is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kwang Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kwang Kim reassigns Medicare benefits to 4 organizations: Ucsf Medical Group Business Services (San Francisco, CA), Ucsf Oral & Maxillofacial Surgery (San Francisco, CA), Ucsf Oral Medicine Clinic (San Francisco, CA) and University Of California San Francisco (San Francisco, CA). Each 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 Kwang Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kwang Kim accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kwang Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kwang Kim was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Kwang Hyun Kim, D.D.S. · NPI 1356437842
General Practice provider in San Rafael, California. Individual provider, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1356437842 (Entity type: Individual)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 49563 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 670 LAS GALLINAS AVE, San Rafael, CA 94903-3687
- **Phone:** (415) 479-8166
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA); Ucsf Oral & Maxillofacial Surgery (NPI 1679652598, San Francisco, CA); Ucsf Oral Medicine Clinic (NPI 1376612960, San Francisco, CA); University Of California San Francisco (NPI 1164512851, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1356437842) · Data from the CMS NPPES public registry.