ELAINE KIM
NPI 1881045995
Speech-Language Pathologist in Diamond Bar, CA
About Elaine Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELAINE KIM (NPI 1881045995) is an individual speech-language pathologist provider in Diamond Bar, California, licensed in California (SP 24297) and active in the NPI registry since June 2016. She is a graduate of Other (2015).
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 and accepts Medicare assignment
Elaine Kim 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 Reassignment
Medicare enrollment records show Elaine Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anaheim, CA 92807
- 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.
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 Elaine Kim's NPI number?
The NPI number for Elaine Kim is 1881045995. It was assigned to this individual provider in the NPPES registry on June 29, 2016.
Where is Elaine Kim located?
Elaine Kim practices at 1115 Seneca Pl, Diamond Bar, CA 91765. The listed phone number is (909) 569-3682.
What is Elaine Kim's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Elaine Kim enrolled in Medicare?
Yes. Elaine 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 organization bills Medicare for Elaine Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elaine Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, 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 Elaine 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 Elaine Kim was last updated on December 3, 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.
# Elaine Kim · NPI 1881045995
Speech-Language Pathologist provider in Diamond Bar, California. Individual provider, active in the CMS NPPES registry since June 29, 2016.
## Identity
- **NPI:** 1881045995 (Entity type: Individual)
- **Enumerated:** June 29, 2016
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** SP 24297 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1115 SENECA PL, Diamond Bar, CA 91765-4369
- **Phone:** (909) 569-3682
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1952333460, Anaheim, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** December 3, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1881045995) · Data from the CMS NPPES public registry.