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DR. SEA JIN KIM M.D.
NPI 1649471202
Psychiatry & Neurology - Neurology in Santa Rosa, CA

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
401 BICENTENNIAL WAY, SUITE 200, SANTA ROSA, CA 95403(707) 571-4255 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sea Jin Kim M.d. NPPES

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

DR. SEA JIN KIM M.D. (NPI 1649471202) is an individual neurology provider in Santa Rosa, California, licensed in California (A100426) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2002).

NPPES Registry Identity

NPI1649471202
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. SEA JIN KIMCredential: M.D.
Location Address401 BICENTENNIAL WAY, SUITE 200Santa Rosa, CA 95403-2149
Mailing Address3559 Round Barn BlvdSanta Rosa, CA 95403-1763 · (707) 571-3911
Phone(707) 571-4255
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2002
Enumeration DateMay 30, 2007
Last NPPES UpdateDecember 20, 2021
✔ NPI 1649471202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A100426
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.
401 BICENTENNIAL WAY, Santa Rosa, CA 95403
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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

Dr. Sea Jin Kim M.d. 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 ID9739275074
PECOS Enrollment IDI20071017000643
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 95403 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

MS. JESSICA ANNE RUTLAND R.D.
Dietitian, Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4787
KURT FALKENBERG P.T.
Physical Therapist
401 BICENTENNIAL WAY, EAST BUILDING, SUITE 190
SANTA ROSA, CA 95403
Sonoma County (707) 571-3352
DELILAH PATTERSON CRNA
Nurse Anesthetist, Certified Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4616
KRISZTINA J. BALAZS MD
Pediatrics
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-4000
JOHN F. KUNKEL MD
Pathology (Anatomic Pathology)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-4000
CRISTINA COREY SCHROEN LCSW
Social Worker (Clinical)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-2536
JIE GIOK RAHARDJA PHARMD
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4652
CONOR WILLIAM BOWMAN PHARM.D.
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (818) 522-1238

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 Sea Jin Kim's NPI number?

The NPI number for Sea Jin Kim is 1649471202. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Sea Jin Kim located?

Sea Jin Kim practices at 401 Bicentennial Way Suite 200, Santa Rosa, CA 95403. The listed phone number is (707) 571-4255.

What is Sea Jin Kim's specialty?

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

Is Sea Jin Kim enrolled in Medicare?

Yes. Sea Jin 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 Sea Jin Kim was last updated on December 20, 2021. 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.