LISA AHN KIM M.S., CCC-SLP
NPI 1699437756
Speech-Language Pathologist in Los Angeles, CA
About Lisa Ahn Kim M.s., Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA AHN KIM M.S., CCC-SLP (NPI 1699437756) is an individual speech-language pathologist provider in Los Angeles, California and active in the NPI registry since October 2021. She is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Lisa Ahn Kim M.s., Ccc-slp 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.
Medicare Billing Reassignment
Medicare enrollment records show Lisa Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lisa Kim's NPI number?
The NPI number for Lisa Kim is 1699437756. It was assigned to this individual provider in the NPPES registry on October 6, 2021.
Where is Lisa Kim located?
Lisa Kim practices at 3060 W Olympic Blvd Apt 649, Los Angeles, CA 90006. The listed phone number is (818) 648-7127.
What is Lisa Kim's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Lisa Kim enrolled in Medicare?
Yes. Lisa 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 organization bills Medicare for Lisa Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Lisa 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 Lisa Kim was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Lisa Ahn Kim, M.S., CCC-SLP · NPI 1699437756
Speech-Language Pathologist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since October 6, 2021.
## Identity
- **NPI:** 1699437756 (Entity type: Individual)
- **Enumerated:** October 6, 2021
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3060 W OLYMPIC BLVD APT 649, Los Angeles, CA 90006-3844
- **Phone:** (818) 648-7127
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1134151657, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1699437756) · Data from the CMS NPPES public registry.