JOHNNY KIM
NPI 1568913820
Social Worker - Clinical in Venice, CA

Active since October 20, 2016PECOS Enrolled
204 HAMPTON DRIVE, VENICE, CA 90291(310) 396-6468 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 25, 2021, Mar 4, 2021, Mar 29, 2017 and 1 more (4 updates tracked since 2016).

About Johnny Kim NPPES

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

JOHNNY KIM (NPI 1568913820) is an individual clinical provider in Venice, California, licensed in California (93241) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568913820
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOHNNY KIM
Location Address204 HAMPTON DRIVEVenice, CA 90291
Mailing Address204 Hampton DriveVenice, CA 90291
Sole ProprietorYes
Enumeration DateOctober 20, 2016
Last NPPES UpdateAugust 25, 20214 updates tracked since enumeration
NPPES CertifiedAugust 25, 2021
NPI 1568913820 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 · 93241
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.

204 HAMPTON DRIVE, Venice, CA 90291

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Johnny 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90291 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 8

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

Voluntary or Charitable
204 HAMPTON DRIVE, ST JOSEPH CENTER
VENICE, CA 90291
Voluntary or Charitable
204 HAMPTON DRIVE, ST JOSEPH CENTER
VENICE, CA 90291
Voluntary or Charitable
204 HAMPTON DRIVE, ST JOSEPH CENTER
VENICE, CA 90291
Student in an Organized Health Care Education/Training Program
204 HAMPTON DRIVE
VENICE, CA 90291
Student in an Organized Health Care Education/Training Program
204 HAMPTON DRIVE
VENICE, CA 90291
Case Manager/Care Coordinator
204 HAMPTON DRIVE
VENICE, CA 90291
Student in an Organized Health Care Education/Training Program
204 HAMPTON DRIVE
VENICE, CA 90291
Psychiatry & Neurology (Psychiatry)
204 HAMPTON DRIVE
VENICE, CA 90291

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 Johnny Kim's NPI number?

The NPI number for Johnny Kim is 1568913820. It was assigned to this individual provider in the NPPES registry on October 20, 2016.

Where is Johnny Kim located?

Johnny Kim practices at 204 Hampton Drive, Venice, CA 90291. The listed phone number is (310) 396-6468.

What is Johnny Kim's specialty?

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

Is Johnny Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Johnny Kim was last updated on August 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.