GRACE L KIM M.D.
NPI 1740276989
Anesthesiology in San Luis Obispo, CA
About Grace L Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE L KIM M.D. (NPI 1740276989) is an individual anesthesiology provider in San Luis Obispo, California, licensed in California (A48699) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Cruz, and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Grace L Kim M.d. 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 Reassignments
4Medicare enrollment records show Grace Kim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Cruz, CA 95065
- Reassigned Medicare billing, California enrollment
- 45 clinicians in this Medicare group
Los Gatos, CA 95032
- Reassigned Medicare billing, California enrollment
- 13 clinicians in this Medicare group
San Jose, CA 95116
- Reassigned Medicare billing, California enrollment
- 27 clinicians in this Medicare group
Palo Alto, CA 94301
- Reassigned Medicare billing, California enrollment
- 4,479 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN LUIS OBISPO, CA 93401
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 Grace Kim's NPI number?
The NPI number for Grace Kim is 1740276989. It was assigned to this individual provider in the NPPES registry on September 22, 2005.
Where is Grace Kim located?
Grace Kim practices at 805 Aerovista Pl Suite 106, San Luis Obispo, CA 93401. The listed phone number is (805) 541-1595.
What is Grace Kim's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Grace Kim enrolled in Medicare?
Yes. Grace 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 Grace Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Kim reassigns Medicare benefits to 4 organizations: Anesthesia Medical Group Of Santa Cruz, Inc. (Santa Cruz, CA), Iqbal M Mirza MD Professional Corporation (Los Gatos, CA), Silicon Valley Anesthesia Associates, Inc. (San Jose, CA) and Sutter Bay Medical Foundation (Palo Alto, 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 Grace 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 Grace Kim was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Grace L Kim, M.D. · NPI 1740276989
Anesthesiology physician in San Luis Obispo, California. Individual provider, active in the CMS NPPES registry since September 22, 2005.
## Identity
- **NPI:** 1740276989 (Entity type: Individual)
- **Enumerated:** September 22, 2005
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** A48699 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 805 AEROVISTA PL, SUITE 106, San Luis Obispo, CA 93401-7919
- **Phone:** (805) 541-1595 · **Fax:** (805) 594-1241
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Anesthesia Medical Group Of Santa Cruz, Inc. (NPI 1871541144, Santa Cruz, CA); Iqbal M Mirza MD Professional Corporation (NPI 1417222985, Los Gatos, CA); Silicon Valley Anesthesia Associates, Inc. (NPI 1427500040, San Jose, CA); Sutter Bay Medical Foundation (NPI 1013950807, Palo Alto, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** January 23, 2026
- **Other identifiers:** Medicaid 00A486990 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1740276989) · Data from the CMS NPPES public registry.