Dr Sonya Young Kim, MD, MBA - Medicare Emergency Medicine in San Carlos, CA

Dr Sonya Young Kim, MD, MBA is a medicare enrolled "Emergency Medicine - Sports Medicine" physician in San Carlos, California. Her current practice location is 1 Devonshire Blvd Apt 8, San Carlos, California. You can reach out to her office (for appointments etc.) via phone at (415) 314-1005.

Dr Sonya Young Kim is licensed to practice in California (license number A79002) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225353022.

Contact Information

Dr Sonya Young Kim, MD, MBA
1 Devonshire Blvd Apt 8,
San Carlos, CA 94070-1758
(415) 314-1005
(888) 959-8346

Map and Direction




Physician's Profile

Full NameDr Sonya Young Kim
GenderFemale
SpecialityEmergency Medicine - Sports Medicine
Location1 Devonshire Blvd Apt 8, San Carlos, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225353022
  • Provider Enumeration Date: 04/05/2010
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335120195
  • Enrollment ID: I20040729000995

Medical Identifiers

Medical identifiers for Dr Sonya Young Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225353022NPI-NPPES
MD 12795OtherHIHI STATE MEDICAL LICENSE
A79002OtherCACA STATE MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PT0002XEmergency Medicine - Medical Toxicology A79002 (California)Secondary
207PS0010XEmergency Medicine - Sports Medicine A79002 (California)Primary
207P00000XEmergency Medicine A79002 (California)Secondary
207PE0004XEmergency Medicine - Emergency Medical Services A79002 (California)Secondary
207PP0204XEmergency Medicine - Pediatric Emergency Medicine A79002 (California)Secondary
207PE0005XEmergency Medicine - Undersea And Hyperbaric Medicine A79002 (California)Secondary
207PH0002XEmergency Medicine - Hospice And Palliative Medicine A79002 (California)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sonya Young Kim allows following entities to bill medicare on her behalf.
Entity NameConcentra Primary Care Of California A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912472531
PECOS PAC ID: 4486995461
Enrollment ID: O20190402000692

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sonya Young Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sonya Young Kim, MD, MBA
1 Devonshire Blvd Apt 8,
San Carlos, CA 94070-1758

Ph: (415) 314-1005
Dr Sonya Young Kim, MD, MBA
1 Devonshire Blvd Apt 8,
San Carlos, CA 94070-1758

Ph: (415) 314-1005

Reviews and Comments


Emergency Medicine Doctors in San Carlos, CA

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Phone: 650-596-4100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.