YOUNGMI P KIM N.P.
NPI 1720089618
Nurse Practitioner in San Diego, CA
About Youngmi P Kim N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YOUNGMI P KIM N.P. (NPI 1720089618) is an individual nurse practitioner in San Diego, California, licensed in California (NP13780) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.
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 (PECOS)
Youngmi P Kim N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Youngmi Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92108
- 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Youngmi Kim's NPI number?
The NPI number for Youngmi Kim is 1720089618. It was assigned to this individual provider in the NPPES registry on August 2, 2005.
Where is Youngmi Kim located?
Youngmi Kim practices at 1835 El Cajon Blvd Suite B, San Diego, CA 92103. The listed phone number is (619) 692-3977.
What is Youngmi Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Youngmi Kim enrolled in Medicare?
Yes. Youngmi Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Youngmi Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Youngmi Kim reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, 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 Youngmi 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 Youngmi Kim was last updated on December 6, 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.
# Youngmi P Kim, N.P. · NPI 1720089618
Nurse Practitioner physician in San Diego, California. Individual provider, active in the CMS NPPES registry since August 2, 2005.
## Identity
- **NPI:** 1720089618 (Entity type: Individual)
- **Enumerated:** August 2, 2005
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** NP13780 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1835 EL CAJON BLVD, SUITE B, San Diego, CA 92103-2591
- **Phone:** (619) 692-3977
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1023425972, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1720089618) · Data from the CMS NPPES public registry.