CHAE YOON KIM MD
NPI 1457930133
Psychiatry & Neurology - Neurology in Tarzana, CA

Active since April 07, 2021PECOS EnrolledAccepts Medicare Assignment
5411 ETIWANDA AVE STE 201, TARZANA, CA 91356(424) 314-0050 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2026, Jul 9, 2025, May 4, 2021 and 1 more (4 updates tracked since 2021).

About Chae Yoon Kim Md NPPES

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

CHAE YOON KIM MD (NPI 1457930133) is an individual neurology provider in Tarzana, California, licensed in California (A182162) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Northeastern Ohio University College Of Medicine (2021).

NPPES Registry Identity

NPI1457930133
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameCHAE YOON KIMCredential: MD
Location Address5411 ETIWANDA AVE STE 201Tarzana, CA 91356-6158
Mailing Address4140 W 190th St Fl 2Torrance, CA 90504-5513
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2021
Enumeration DateApril 7, 2021
Last NPPES UpdateAugust 20, 20264 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1457930133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A182162
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
5411 ETIWANDA AVE STE 201, Tarzana, CA 91356

Secondary Practice Locations 2

Location 18700 Beverly BlvdWest Hollywood, CA 90048-1804 · Phone (310) 423-6472 · Fax (310) 423-0148
Location 2127 S San Vicente Blvd Ste A6600Los Angeles, CA 90048-3311 · Phone (310) 423-6472 · Fax (310) 423-0148

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

Chae Yoon Kim Md 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 ID5597272641
PECOS Enrollment IDI20250724002895
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 Reassignments

2

Medicare enrollment records show Chae Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
8700 BEVERLY BLVD STE SB-290
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 2,118 clinicians in this Medicare group
General Acute Care Hospital
8700 BEVERLY BLVD
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 1,001 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 91356 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

Physician Assistant
5411 ETIWANDA AVE STE 201
TARZANA, CA 91356

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 Chae Kim's NPI number?

The NPI number for Chae Kim is 1457930133. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Chae Kim located?

Chae Kim practices at 5411 Etiwanda Ave Ste 201, Tarzana, CA 91356. The listed phone number is (424) 314-0050.

What is Chae Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Chae Kim enrolled in Medicare?

Yes. Chae 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 organizations bill Medicare for Chae Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chae Kim reassigns Medicare benefits to 2 organizations: Cedars-Sinai Medical Care Foundation (Los Angeles, CA) and Cedars-Sinai Medical Center (Los Angeles, 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 Chae 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 Chae Kim was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.