DR. JAY BYUNG WOOK KIM MD
NPI 1386252567
Psychiatry & Neurology - Psychiatry in Irvine, CA

Active since July 14, 2020PECOS Enrolled
17875 VON KARMAN AVE STE 150, IRVINE, CA 92614(714) 880-4545(714) 816-4211 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2024, Aug 17, 2023, Jul 14, 2020 (3 updates tracked since 2020).

About Dr. Jay Byung Wook Kim Md NPPES

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

DR. JAY BYUNG WOOK KIM MD (NPI 1386252567) is an individual psychiatry provider in Irvine, California, licensed in California (A177988) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386252567
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JAY BYUNG WOOK KIMCredential: MD
Location Address17875 VON KARMAN AVE STE 150Irvine, CA 92614-6212
Mailing Address825 Monte VisIrvine, CA 92602-2019
Fax(714) 816-4211
Sole ProprietorNo
Enumeration DateJuly 14, 2020
Last NPPES UpdateNovember 4, 20243 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1386252567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A177988
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
17875 VON KARMAN AVE STE 150, Irvine, CA 92614

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jay Byung Wook Kim Md 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 Jay Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
3100 OAK ROAD, SUITE 270
Walnut Creek, CA 94597
  • Reassigned Medicare billing, California enrollment
  • 149 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 92614 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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 9

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

Behavior Technician
17875 VON KARMAN AVE STE 150
IRVINE, CA 92614
Clinic/Center (Adolescent and Children Mental Health)
17875 VON KARMAN AVE STE 150
IRVINE, CA 92614
Internal Medicine (Cardiovascular Disease)
17875 VON KARMAN AVE STE 150
IRVINE, CA 92614
Behavior Technician
17875 VON KARMAN AVE STE 150
IRVINE, CA 92614
Behavior Technician
17875 VON KARMAN AVE STE 150
IRVINE, CA 92614
Nurse Practitioner (Psychiatric/Mental Health)
17875 VON KARMAN AVE STE 150
IRVINE, CA 92614
Behavior Technician
17875 VON KARMAN AVE STE 150
IRVINE, CA 92614
Nurse Practitioner (Adult Health)
17875 VON KARMAN AVE STE 150
IRVINE, CA 92614

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 Jay Kim's NPI number?

The NPI number for Jay Kim is 1386252567. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Where is Jay Kim located?

Jay Kim practices at 17875 Von Karman Ave Ste 150, Irvine, CA 92614. The listed phone number is (714) 880-4545.

What is Jay Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jay Kim enrolled in Medicare?

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

Which organization bills Medicare for Jay Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Kim reassigns Medicare benefits to Comprehensive Psychiatric Services, A Medical Group (Walnut Creek, 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 Jay 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 Jay Kim was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.