DAYNA ANNIE KIM DPM
NPI 1861888125
Podiatrist - Foot & Ankle Surgery in San Leandro, CA

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment
13690 E 14TH ST STE 220, SAN LEANDRO, CA 94578(510) 614-5633 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 21, 2021, Oct 19, 2020, Sep 12, 2019 and 1 more (4 updates tracked since 2019).

About Dayna Annie Kim Dpm NPPES

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

DAYNA ANNIE KIM DPM (NPI 1861888125) is an individual foot & ankle surgery provider in San Leandro, California, licensed in California (E5528) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1861888125
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDAYNA ANNIE KIMCredential: DPM
Location Address13690 E 14TH ST STE 220San Leandro, CA 94578-2584
Mailing Address1191 W Tennyson Rd Ste 3Hayward, CA 94544-4454 · (510) 732-1566 · Fax (510) 732-1515
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 13, 2015
Last NPPES UpdateDecember 21, 20214 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1861888125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E5528
13690 E 14TH ST STE 220, San Leandro, CA 94578

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

Dayna Annie Kim Dpm 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 ID3375874696
PECOS Enrollment IDI20191017000110
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

3

Medicare enrollment records show Dayna Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Foot & Ankle Surgery
13847 E 14TH ST STE 210
San Leandro, CA 94578
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
Podiatrist
1191 W. TENNYSON RD. STE 3
Hayward, CA 94544
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 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.

Other Providers at the Same Location NPPES 2

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

Podiatrist (Foot & Ankle Surgery)
13690 E 14TH ST STE 220
SAN LEANDRO, CA 94578
Podiatrist (Foot & Ankle Surgery)
13690 E 14TH ST STE 220
SAN LEANDRO, CA 94578

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 Dayna Kim's NPI number?

The NPI number for Dayna Kim is 1861888125. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Dayna Kim located?

Dayna Kim practices at 13690 E 14th St Ste 220, San Leandro, CA 94578. The listed phone number is (510) 614-5633.

What is Dayna Kim's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Dayna Kim enrolled in Medicare?

Yes. Dayna 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 Dayna Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dayna Kim reassigns Medicare benefits to 3 organizations: East Bay Foot & Ankle Clinic Inc (San Leandro, CA), Hayward Foot & Ankle Center (Hayward, CA) and Permanente Medical Group Inc (Redwood City, 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 Dayna 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 Dayna Kim was last updated on December 21, 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.