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MELANIE KIM
NPI 1790993004
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since May 18, 2007PECOS Enrolled
11080 W OLYMPIC BLVD, LOS ANGELES, CA 90064(213) 574-0499 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2024, Oct 4, 2021, Mar 15, 2016 (3 updates tracked since 2016).

About Melanie Kim NPPES

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

MELANIE KIM (NPI 1790993004) is an individual psychiatry provider in Los Angeles, California, licensed in California (A 89944) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790993004
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMELANIE KIM
Location Address11080 W OLYMPIC BLVDLos Angeles, CA 90064-1937
Mailing Address11080 W Olympic BlvdLos Angeles, CA 90064-1937 · (213) 574-0499
Phone(213) 574-0499
Sole ProprietorNo
Enumeration DateMay 18, 2007
Last NPPES UpdateJune 24, 20243 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1790993004 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 · A 89944
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.
11080 W OLYMPIC BLVD, Los Angeles, CA 90064
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melanie Kim 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.

Medicare Billing Reassignment

Medicare enrollment records show Melanie Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Los Angeles County Department Of Mental Health
Same address
Mental Health (Including Community Mental Health Center)
11080 WEST OLYMPIC BLVD
Los Angeles, CA 90064
  • Reassigned Medicare billing, California enrollment
  • 533 clinicians in this Medicare group
NPI 1003630443 (213) 503-3959

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 90064 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

YVETTE NICOLE VENEGAS
Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (213) 523-9193
KECIA MCDANIEL OTR
Occupational Therapist
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6500
DOLORES J GONZALEZ
Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (424) 388-1038
SOPHIA DANIELS
Student in an Organized Health Care Education/Training Program
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6500
MARIA FERNANDA BLANCO MENDOZA
Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6500
MR. EDWARD BURGOS NINO NP
Nurse Practitioner (Psychiatric/Mental Health)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 913-4310
DR. KENNETH S. CHUANG M.D.
Psychiatry & Neurology (Psychiatry)
11080 W OLYMPIC BLVD, 4TH FLOOR
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6513
MRS. JOVANA GOMEZ
Community Health Worker
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6579

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 Melanie Kim's NPI number?

The NPI number for Melanie Kim is 1790993004. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Melanie Kim located?

Melanie Kim practices at 11080 W Olympic Blvd, Los Angeles, CA 90064. The listed phone number is (213) 574-0499.

What is Melanie Kim's specialty?

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

Is Melanie Kim enrolled in Medicare?

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

Which organization bills Medicare for Melanie Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Kim reassigns Medicare benefits to Los Angeles County Department Of Mental Health (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 Melanie 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 Melanie Kim was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.