1. Home
  2. Directory
  3. California
  4. Davis
  5. Nurse Practitioner
  6. NPI Profile

RYAN SUNHO KIM NP-C
NPI 1780351072
Nurse Practitioner - Family in Davis, CA

Active since August 25, 2021PECOS EnrolledAccepts Medicare Assignment
4647 2ND ST STE 130, DAVIS, CA 95618(800) 972-5547 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 1, 2023, Aug 25, 2021 (2 updates tracked since 2021).

About Ryan Sunho Kim Np-c NPPES

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

RYAN SUNHO KIM NP-C (NPI 1780351072) is an individual family provider in Davis, California, licensed in California (95018179) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1780351072
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRYAN SUNHO KIMCredential: NP-C
Location Address4647 2ND ST STE 130Davis, CA 95618-9428
Mailing AddressPo Box 255228Sacramento, CA 95865-5228
Phone(800) 972-5547
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 25, 2021
Last NPPES UpdateJune 1, 20232 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1780351072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95018179
4647 2ND ST STE 130, Davis, CA 95618
Open in Google Maps ↗

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

Ryan Sunho Kim Np-c 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 ID8426436783
PECOS Enrollment IDI20220527002127
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

8

Medicare enrollment records show Ryan Kim reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America - California
4.0 mi
Emergency Medicine
2000 SUTTER PL
Davis, CA 95616
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1548216260 (California)
  • 2,323 clinicians in this Medicare group
NPI 1326346438 (530) 757-5111
Sutter Valley Medical Foundation
11 mi
Multi-Specialty
2700 GATEWAY OAKS DR
Sacramento, CA 95833
  • Reassigned Medicare billing, California enrollment
  • 3,056 clinicians in this Medicare group
NPI 1952327256 (800) 470-0071
Capitol Urgent Care Inc
11 mi
Urgent Care
7200 S LAND PARK DR, SUITE 100
Sacramento, CA 95831
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1508133208 (916) 422-9110
Natomas Urgent Care Inc.
12 mi
Urgent Care
4321 TRUXEL RD
Sacramento, CA 95834
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group
NPI 1063996122 (916) 524-6976
Sutter Bay Medical Foundation
13 mi
Multi-Specialty
1315 ALHAMBRA BLVD STE 210
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1003267196 (916) 732-4380
Elk Grove Urgent Care Inc
18 mi
Urgent Care
9045 BRUCEVILLE RD, SUITE 100
Elk Grove, CA 95758
  • Reassigned Medicare billing, California enrollment
  • 23 clinicians in this Medicare group
NPI 1285812024 (916) 479-9110
Permanente Medical Group Inc
42 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000
Eden Emergency Medical Group Inc
63 mi
Emergency Medicine
20103 LAKE CHABOT RD
Castro Valley, CA 94546
  • Reassigned Medicare billing, California enrollment
  • 43 clinicians in this Medicare group
NPI 1891786240 (209) 342-2300

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 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services15 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
15 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95618 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANEET BAINS MSN, RN, FNP-C
Nurse Practitioner (Family)
4647 2ND ST STE 130
DAVIS, CA 95618
Yolo County (800) 972-5547

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 Ryan Kim's NPI number?

The NPI number for Ryan Kim is 1780351072. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Ryan Kim located?

Ryan Kim practices at 4647 2nd St Ste 130, Davis, CA 95618. The listed phone number is (800) 972-5547.

What is Ryan Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ryan Kim enrolled in Medicare?

Yes. Ryan 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 Ryan Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Kim reassigns Medicare benefits to 8 organizations: Cep America - California (Davis, CA), Sutter Valley Medical Foundation (Sacramento, CA), Capitol Urgent Care Inc (Sacramento, CA), Natomas Urgent Care Inc. (Sacramento, CA), Sutter Bay Medical Foundation (Sacramento, CA) and 3 more organizations, listed in the Medicare section above. 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 Ryan 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 Ryan Kim was last updated on June 1, 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.