Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLAIR YEJIN KIM
NPI 1649858580
Psychiatry & Neurology - Psychiatry in Chatsworth, CA

Q: What is Blair Kim's NPI number?

The NPI number for Blair Kim is 1649858580. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Blair Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Blair Kim was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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 March 31, 2021PECOS EnrolledAccepts Medicare Assignment

20151 NORDHOFF ST, CHATSWORTH, CA 91311(818) 407-3100 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Aug 13, 2025, Apr 4, 2024 and 2 more (5 updates tracked since 2021).

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About Blair Yejin Kim NPPES

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

BLAIR YEJIN KIM (NPI 1649858580) is an individual psychiatry provider in Chatsworth, California, licensed in California (184516) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Loma Linda University School Of Medicine (2021).

NPPES Registry Identity

NPI1649858580

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameBLAIR YEJIN KIM

Location Address20151 NORDHOFF STChatsworth, CA 91311-6215

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(818) 407-3100

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2021

Enumeration DateMarch 31, 2021

Last NPPES UpdateJuly 6, 20265 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1649858580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · 184516

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

20151 NORDHOFF ST, Chatsworth, CA 91311

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Secondary Practice Location 1

Location 1300 Ucla Medical Plz Ste 1200Los Angeles, CA 90095-4018 · Phone (310) 825-9989

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

Blair Yejin 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 ID2769845965

PECOS Enrollment IDI20250703001435

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 91311 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

$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 20

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

SANDRA MABEL BUENRROSTRO REGISTERED NURSE

Registered Nurse (Psychiatric/Mental Health, Adult)