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KATHLEEN KIM M.D.
NPI 1710902739
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since July 12, 2006PECOS Enrolled
3350 LA JOLLA VILLAGE DR, M/C 116A, SAN DIEGO, CA 92161(858) 552-8585(858) 642-6442 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kathleen Kim M.d. NPPES

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

KATHLEEN KIM M.D. (NPI 1710902739) is an individual psychiatry provider in San Diego, California, licensed in California (G86882) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710902739
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameKATHLEEN KIMCredential: M.D.
Location Address3350 LA JOLLA VILLAGE DR, M/C 116ASan Diego, CA 92161-0002
Mailing AddressPo Box 7143Rancho Santa Fe, CA 92067-7143 · (858) 759-4052
Phone(858) 552-8585
Fax(858) 642-6442
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710902739 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 · G86882
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.
3350 LA JOLLA VILLAGE DR, San Diego, CA 92161
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Other Identifiers 1

Medicare UPINE32383IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Kim M.d. 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 92161 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

DR. JENNIFER ANNE FREIMUND M.D.
Internal Medicine (Geriatric Medicine)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 552-7475
MRS. LINDA REID HOLLAND PT
Physical Therapist
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 552-7487
DR. JONATHAN M MEYER M.D.
Psychiatry & Neurology (Psychiatry)
3350 LA JOLLA VILLAGE DR, 116-A
SAN DIEGO, CA 92161
San Diego County (858) 642-3570
ANDREW BISMARK
Psychologist (Clinical)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 245-5825
LORNA FRANCES DOUCETTE
Pharmacist (Psychiatric)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (828) 545-5072
MS. LISA ARAI PHARM.D.
Pharmacist (Psychiatric)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
HAYLEY MARIE HOWELLS MPT
Physical Therapist
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 642-3138
JOAN MARIE FITZGERALD RN, MSN, FNP
Nurse Practitioner (Family)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 552-8585

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 Kathleen Kim's NPI number?

The NPI number for Kathleen Kim is 1710902739. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Kathleen Kim located?

Kathleen Kim practices at 3350 La Jolla Village Dr M/C 116A, San Diego, CA 92161. The listed phone number is (858) 552-8585.

What is Kathleen Kim's specialty?

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

Is Kathleen Kim enrolled in Medicare?

Yes. Kathleen Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.