1. Home
  2. Directory
  3. California
  4. Dublin
  5. Nurse Practitioner
  6. NPI Profile

ELDEN H. KIM F.N.P.
NPI 1942907514
Nurse Practitioner - Family in Dublin, CA

Active since February 14, 2023PECOS Enrolled
4766 CALCAGNO CT, DUBLIN, CA 94568(415) 961-4555 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elden H. Kim F.n.p. NPPES

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

ELDEN H. KIM F.N.P. (NPI 1942907514) is an individual family provider in Dublin, California, licensed in California (95024265) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942907514
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameELDEN H. KIMCredential: F.N.P.
Location Address4766 CALCAGNO CTDublin, CA 94568-4264
Mailing Address4766 Calcagno CtDublin, CA 94568-4264 · (415) 961-4555
Phone(415) 961-4555
Sole ProprietorYes
Enumeration DateFebruary 14, 2023
NPPES CertifiedFebruary 14, 2023
✔ NPI 1942907514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95024265
4766 CALCAGNO CT, Dublin, CA 94568
Open in Google Maps ↗

Other Identifiers 1

MedicaidD4049136CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elden H. Kim F.n.p. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94568 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
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 Elden Kim's NPI number?

The NPI number for Elden Kim is 1942907514. It was assigned to this individual provider in the NPPES registry on February 14, 2023.

Where is Elden Kim located?

Elden Kim practices at 4766 Calcagno Ct, Dublin, CA 94568. The listed phone number is (415) 961-4555.

What is Elden Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elden Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Elden Kim was last updated on February 14, 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.