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JONG YOON KIM
NPI 1518530443
Psychologist - Clinical in Santa Fe Springs, CA

Active since July 19, 2021PECOS EnrolledAccepts Medicare Assignment
11721 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670(562) 949-8455 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2023, Feb 17, 2023, Jul 19, 2021 (3 updates tracked since 2021).

About Jong Yoon Kim NPPES

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

JONG YOON KIM (NPI 1518530443) is an individual clinical provider in Santa Fe Springs, California, licensed in California (PSY36465) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1518530443
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJONG YOON KIM
Location Address11721 TELEGRAPH RDSanta Fe Springs, CA 90670-3674
Mailing Address1052 Seco St Apt 203Pasadena, CA 91103-2852 · (650) 274-6534
Phone(562) 949-8455
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 19, 2021
Last NPPES UpdateFebruary 17, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1518530443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY36465
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedRehabilitation CounselorTaxonomy 225C00000X
11721 TELEGRAPH RD, Santa Fe Springs, CA 90670
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jong Yoon Kim 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 ID345719373
PECOS Enrollment IDI20260519002107
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90670 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
$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 20

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

PACIFIC CLINICS
Community/Behavioral Health
11721 TELEGRAPH RD, SUITE A
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 949-8455
ALETA LUA
Rehabilitation Practitioner
11721 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 949-8455
ESMERALDA SOLORZANO
Social Worker (Clinical)
11721 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 949-8455
MRS. MARYJANE HUGHES LVN
Licensed Vocational Nurse
11721 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 801-0318
JACQUELINE PEREZ
Case Manager/Care Coordinator
11721 TELEGRAPH RD, BLDG. A
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 949-8455
MRS. CINTHYA KARINA CARDENAS ECHEGOYEN
Marriage & Family Therapist
11721 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 949-8455
STEVEN JAVIER GONZALEZ
Peer Specialist
11721 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670
Los Angeles County (626) 701-0155
CHRISTINA GARCIA
Student in an Organized Health Care Education/Training Program
11721 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 949-8455

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 Jong Yoon Kim's NPI number?

The NPI number for Jong Yoon Kim is 1518530443. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Where is Jong Yoon Kim located?

Jong Yoon Kim practices at 11721 Telegraph Rd, Santa Fe Springs, CA 90670. The listed phone number is (562) 949-8455.

What is Jong Yoon Kim's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jong Yoon Kim enrolled in Medicare?

Yes. Jong Yoon 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.

When was this NPI record last updated?

The NPPES record for Jong Yoon Kim was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.