CAROLE KIM
NPI 1972037406
Psychiatry & Neurology - Psychiatry in Orange, CA
About Carole Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLE KIM (NPI 1972037406) is an individual psychiatry provider in Orange, California, licensed in California (A155894) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2017).
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
Carole 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 Reassignments
2Medicare enrollment records show Carole Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Anaheim, CA 92807
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Bellflower, CA 90706
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: County Of Los Angeles
- 1,939 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ORANGE, CA 92868
ORANGE, CA 92868
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 Carole Kim's NPI number?
The NPI number for Carole Kim is 1972037406. It was assigned to this individual provider in the NPPES registry on April 11, 2017.
Where is Carole Kim located?
Carole Kim practices at 101 The City Dr S Bldg 3, Room 207, Route 88, Orange, CA 92868. The listed phone number is (714) 456-5770.
What is Carole Kim's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Carole Kim enrolled in Medicare?
Yes. Carole 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 Carole Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carole Kim reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Anaheim, CA) and County Of Los Angeles Auditor Controller (Bellflower, 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 Carole 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 Carole 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.
# Carole Kim · NPI 1972037406
Psychiatry physician in Orange, California. Individual provider, active in the CMS NPPES registry since April 11, 2017.
## Identity
- **NPI:** 1972037406 (Entity type: Individual)
- **Enumerated:** April 11, 2017
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** A155894 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 THE CITY DR S, BLDG 3, ROOM 207, ROUTE 88, Orange, CA 92868-3201
- **Phone:** (714) 456-5770
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1952333460, Anaheim, CA); County Of Los Angeles Auditor Controller (NPI 1689695892, Bellflower, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** December 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1972037406) · Data from the CMS NPPES public registry.