SAE KIM NP
NPI 1992312904
Nurse Practitioner - Psychiatric/Mental Health in Huntington Beach, CA
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
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Sae 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 92805
- Reassigned Medicare billing, California enrollment
- 32 clinicians in this Medicare group
Tustin, CA 92780
- Reassigned Medicare billing, California enrollment
- 33 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 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.
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.
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
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.
Which organizations bill Medicare for Sae Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sae Kim reassigns Medicare benefits to 2 organizations: Kcs, Inc. (Anaheim, CA) and Dazzle Health P C (Tustin, 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 Sae 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 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.
# Sae Kim, NP · NPI 1992312904
Psychiatric/Mental Health physician in Huntington Beach, California. Individual provider, active in the CMS NPPES registry since September 24, 2020.
## Identity
- **NPI:** 1992312904 (Entity type: Individual)
- **Enumerated:** September 24, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95015173 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7677 CENTER AVE STE 405, Huntington Beach, CA 92647-3098
- **Phone:** (171) 434-5438
## 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): Kcs, Inc. (NPI 1992951180, Anaheim, CA); Dazzle Health P C (NPI 1578301495, Tustin, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1992312904) · Data from the CMS NPPES public registry.