1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Nurse Practitioner
  6. NPI Profile

KAYOUNG SEO AGACNP-BC
NPI 1629958517
Nurse Practitioner - Acute Care in Los Angeles, CA

Active since September 03, 2025PECOS EnrolledAccepts Medicare Assignment
8631 W 3RD ST STE 120E, LOS ANGELES, CA 90048(310) 967-0838(424) 314-8504 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kayoung Seo Agacnp-bc NPPES

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

KAYOUNG SEO AGACNP-BC (NPI 1629958517) is an individual acute care provider in Los Angeles, California, licensed in California (95036014) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1629958517
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKAYOUNG SEOCredential: AGACNP-BC
Location Address8631 W 3RD ST STE 120ELos Angeles, CA 90048-5901
Mailing Address8631 W 3rd St Ste 120eLos Angeles, CA 90048-5901 · (310) 967-0838 · Fax (424) 314-8504
Phone(310) 967-0838
Fax(424) 314-8504
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1629958517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95036014
8631 W 3RD ST STE 120E, Los Angeles, CA 90048
Open in Google Maps ↗

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

Kayoung Seo Agacnp-bc 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 ID143705129
PECOS Enrollment IDI20260327001429
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 90048 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

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 Kayoung Seo's NPI number?

The NPI number for Kayoung Seo is 1629958517. It was assigned to this individual provider in the NPPES registry on September 3, 2025.

Where is Kayoung Seo located?

Kayoung Seo practices at 8631 W 3rd St Ste 120E, Los Angeles, CA 90048. The listed phone number is (310) 967-0838.

What is Kayoung Seo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kayoung Seo enrolled in Medicare?

Yes. Kayoung Seo 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 Kayoung Seo was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.