MONA KIM RN, MS, MA, PMHNP-BC
NPI 1639578487
Nurse Practitioner - Psychiatric/Mental Health in Oakland, CA

Q: What is Mona Kim's NPI number?

The NPI number for Mona Kim is 1639578487. It was assigned to this individual provider in the NPPES registry on August 18, 2014.

Q: What is Mona Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Mona Kim was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since August 18, 2014PECOS Enrolled

1422 HARRISON ST, OAKLAND, CA 94612(510) 809-1780(510) 893-1642 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2022, Mar 26, 2016, Feb 9, 2016 (3 updates tracked since 2016).

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About Mona Kim Rn, Ms, Ma, Pmhnp-bc NPPES

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

MONA KIM RN, MS, MA, PMHNP-BC (NPI 1639578487) is an individual psychiatric/mental health provider in Oakland, California, licensed in California (NP95003523) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639578487

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMONA KIMCredential: RN, MS, MA, PMHNP-BC

Location Address1422 HARRISON STOakland, CA 94612-3903

Mailing Address1422 Harrison StOakland, CA 94612-3903 · (510) 809-1780 · Fax (510) 893-1642

Phone(510) 809-1780

Fax(510) 893-1642

Sole ProprietorNo

Enumeration DateAugust 18, 2014

Last NPPES UpdateJanuary 3, 20223 updates tracked since enumeration

✔ NPI 1639578487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · NP95003523

1422 HARRISON ST, Oakland, CA 94612

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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 (PECOS)

Mona Kim Rn, Ms, Ma, Pmhnp-bc 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 94612 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

ROCHELLE GUMBS

Specialist