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KYONG OHK KIM
NPI 1891161741
Social Worker - Clinical in San Jose, CA

Active since August 14, 2015PECOS Enrolled
2400 MOORPARK AVE # 3300, SAN JOSE, CA 95128(408) 975-2745 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 23, 2023, May 19, 2020 (2 updates tracked since 2020).

About Kyong Ohk Kim NPPES

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

KYONG OHK KIM (NPI 1891161741) is an individual clinical provider in San Jose, California, licensed in California (93644) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1891161741
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKYONG OHK KIM
Location Address2400 MOORPARK AVE # 3300San Jose, CA 95128-2631
Mailing Address2021 Los Gatos Almaden RdSan Jose, CA 95124-5456 · (408) 857-3242
Phone(408) 975-2745
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 14, 2015
Last NPPES UpdateJune 23, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1891161741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 93644
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2400 MOORPARK AVE # 3300, San Jose, CA 95128
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyong Ohk Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486048758
PECOS Enrollment IDI20220302001728
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 Kyong Ohk Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Asian Americans For Community Involvement Of Santa Clara County, Inc
Same address
Community/Behavioral Health
2400 MOORPARK AVE, SUITE 300
San Jose, CA 95128
  • Reassigned Medicare billing, California enrollment
  • 63 clinicians in this Medicare group
NPI 1326052291 (408) 975-2730

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 95128 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
$0.00 typical visit price
range $70.37 – $206.04
Typical copayment $0.00 (range $17.59 – $51.51)
Most-billed visit code NA
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

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 Kyong Ohk Kim's NPI number?

The NPI number for Kyong Ohk Kim is 1891161741. It was assigned to this individual provider in the NPPES registry on August 14, 2015.

Where is Kyong Ohk Kim located?

Kyong Ohk Kim practices at 2400 Moorpark Ave # 3300, San Jose, CA 95128. The listed phone number is (408) 975-2745.

What is Kyong Ohk Kim's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kyong Ohk Kim enrolled in Medicare?

Yes. Kyong Ohk Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyong Ohk Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyong Ohk Kim reassigns Medicare benefits to Asian Americans For Community Involvement Of Santa Clara County, Inc (San Jose, 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 Kyong Ohk 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 Kyong Ohk Kim was last updated on June 23, 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.