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

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: October 25, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Blair Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Los Angeles County Department Of Mental Health
Same address
Mental Health (Including Community Mental Health Center)
20151 NORDHOFF ST
Chatsworth, CA 91311
  • Reassigned Medicare billing, California enrollment
  • 533 clinicians in this Medicare group
NPI 1215148325 (818) 407-3200
Uc Regents
14 mi
Adult Development & Aging
300 MEDICAL PLAZA
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 221 clinicians in this Medicare group
NPI 1750368999 (310) 825-9989

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
20151 NORDHOFF ST
CHATSWORTH, CA 91311
Los Angeles County (818) 407-3200
DR. VEENA VADMAL MD
Psychiatry & Neurology (Psychiatry)
20151 NORDHOFF ST
CHATSWORTH, CA 91311
Los Angeles County (818) 407-3200
RHODORA PADILLA TOLENTINO M.D.
Psychiatry & Neurology (Psychiatry)
20151 NORDHOFF ST
CHATSWORTH, CA 91311
Los Angeles County (818) 407-3200
MR. CESAR CARRENO
Counselor (Addiction (Substance Use Disorder))
20151 NORDHOFF ST
CHATSWORTH, CA 91311
Los Angeles County (818) 407-3200
MISS SANDRA I MARTINEZ
Social Worker (Clinical)
20151 NORDHOFF ST
CHATSWORTH, CA 91311
Los Angeles County (818) 407-3200
MR. DAVID MORGAN SKINNER
Case Manager/Care Coordinator
20151 NORDHOFF ST
CHATSWORTH, CA 91311
Los Angeles County (818) 407-3200
KUAN-YI LEE LCSW
Social Worker (Clinical)
20151 NORDHOFF ST
CHATSWORTH, CA 91311
Los Angeles County (818) 407-3180
MRS. DENISA SIDONIA SUCIU LCSW
Social Worker (Clinical)
20151 NORDHOFF ST
CHATSWORTH, CA 91311
Los Angeles County (714) 495-1402

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 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.

Where is Blair Kim located?

Blair Kim practices at 20151 Nordhoff St, Chatsworth, CA 91311. The listed phone number is (818) 407-3100.

What is Blair Kim's specialty?

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

Is Blair Kim enrolled in Medicare?

Yes. Blair 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.

Which organizations bill Medicare for Blair Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blair Kim reassigns Medicare benefits to 2 organizations: Los Angeles County Department Of Mental Health (Chatsworth, CA) and Uc Regents (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blair Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 3 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.