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VANDA KIM
NPI 1942450697
Social Worker - Clinical in Elmira, CA

Active since September 30, 2008PECOS Enrolled
5416 HOLDENER ROAD, ELMIRA, CA 95625(707) 453-6227 Get Directions Write a Review

NPPES record last updated: August 22, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Vanda Kim NPPES

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

VANDA KIM (NPI 1942450697) is an individual clinical provider in Elmira, California, licensed in California (78829) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942450697
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameVANDA KIM
Location Address5416 HOLDENER ROADElmira, CA 95625
Mailing Address961 Sandemara StreetSacramento, CA 95838 · (707) 453-6227
Phone(707) 453-6227
Sole ProprietorNo
Enumeration DateSeptember 30, 2008
Last NPPES UpdateAugust 22, 2017
✔ NPI 1942450697 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 · 78829
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.
5416 HOLDENER ROAD, Elmira, CA 95625
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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)

Vanda 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 Reassignments

2

Medicare enrollment records show Vanda Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sud Specialty Group - Ca
66 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088
Grow Healthcare Group PC
70 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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 95625 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 $65.02 – $191.95
Typical copayment $0.00 (range $16.25 – $47.98)
Most-billed visit code NA
Established Patient
$80.24 typical visit price
range $21.86 – $157.69
Typical copayment $20.06 (range $5.46 – $39.42)
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 10

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

MALENA ZUBIAGA
Counselor
5416 HOLDENER ROAD
ELMIRA, CA 95625
Solano County (707) 453-6227
MISS MARGARITA IVONNE HERRERA GUTIERREZ
Social Worker (School)
5416 HOLDENER ROAD
ELMIRA, CA 95625
Solano County (707) 453-6227
MS. NAOMI BETH BREWER ATR-BC
Counselor (Mental Health)
5416 HOLDENER ROAD
VACAVILLE, CA 95625
Solano County (707) 453-6227
KEYSTONE SCHOOL ELMIRA
Community/Behavioral Health
5416 HOLDENER ROAD
ELMIRA, CA 95625
Solano County (707) 453-6227
DESTINEE SANTISTEVAN
Counselor (Mental Health)
5416 HOLDENER ROAD
ELMIRA, CA 95625
Solano County (707) 453-6227
VERONICA DENISE STINSON
Counselor (Mental Health)
5416 HOLDENER ROAD
ELMIRA, CA 95625
Solano County (707) 453-6227
REBECCA MANN
Marriage & Family Therapist
5416 HOLDENER ROAD
ELMIRA, CA 95625
Solano County (707) 453-6227
MONICA KOZA
Counselor (Mental Health)
5416 HOLDENER ROAD
ELMIRA, CA 95625
Solano County (707) 453-6227

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 Vanda Kim's NPI number?

The NPI number for Vanda Kim is 1942450697. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Where is Vanda Kim located?

Vanda Kim practices at 5416 Holdener Road, Elmira, CA 95625. The listed phone number is (707) 453-6227.

What is Vanda Kim's specialty?

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

Is Vanda Kim enrolled in Medicare?

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

Which organizations bill Medicare for Vanda Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vanda Kim reassigns Medicare benefits to 2 organizations: Sud Specialty Group - Ca (Santa Clara, CA) and Grow Healthcare Group PC (San Jose, 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 Vanda 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 Vanda Kim was last updated on August 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.