SAE KIM NP
NPI 1992312904
Nurse Practitioner - Psychiatric/Mental Health in Huntington Beach, CA

Active since September 24, 2020PECOS EnrolledAccepts Medicare Assignment
7677 CENTER AVE STE 405, HUNTINGTON BEACH, CA 92647(171) 434-5438 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sae Kim Np NPPES

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

SAE KIM NP (NPI 1992312904) is an individual psychiatric/mental health provider in Huntington Beach, California, licensed in California (95015173) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1992312904
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSAE KIMCredential: NP
Location Address7677 CENTER AVE STE 405Huntington Beach, CA 92647-3098
Mailing Address451 W Lincoln Ave Ste 100Anaheim, CA 92805-2912 · (714) 503-6550 · Fax (714) 409-3094
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 24, 2020
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
NPI 1992312904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95015173
7677 CENTER AVE STE 405, Huntington Beach, CA 92647

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sae Kim Np 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.

PECOS PAC ID9032585534
PECOS Enrollment IDI20221025002941
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 92647 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 4

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

Psychiatry & Neurology (Psychiatry)
7677 CENTER AVE STE 405
HUNTINGTON BEACH, CA 92647
Nurse Practitioner (Family)
7677 CENTER AVE STE 405
HUNTINGTON BEACH, CA 92647
Marriage & Family Therapist
7677 CENTER AVE STE 405
HUNTINGTON BEACH, CA 92647
Nurse Practitioner (Psychiatric/Mental Health)
7677 CENTER AVE STE 405
HUNTINGTON BEACH, CA 92647

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 Sae Kim's NPI number?

The NPI number for Sae Kim is 1992312904. It was assigned to this individual provider in the NPPES registry on September 24, 2020.

Where is Sae Kim located?

Sae Kim practices at 7677 Center Ave Ste 405, Huntington Beach, CA 92647. The listed phone number is (171) 434-5438.

What is Sae Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sae Kim enrolled in Medicare?

Yes. Sae 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.

When was this NPI record last updated?

The NPPES record for Sae Kim was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.