Ryan Sunho Kim, NP-C - Medicare Nurse Practitioner in Davis, CA

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Ryan Sunho Kim, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Davis, California. His current practice location is 4647 2nd St Ste 130, Davis, California. You can reach out to his office (for appointments etc.) via phone at (800) 972-5547.

Ryan Sunho Kim is licensed to practice in California (license number 95018179) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780351072.

Contact Information

Ryan Sunho Kim, NP-C
4647 2nd St Ste 130,
Davis, CA 95618-9428
(800) 972-5547
Not Available

Map and Direction




Provider's Profile

Full NameRyan Sunho Kim
GenderMale
SpecialityNurse Practitioner - Family
Location4647 2nd St Ste 130, Davis, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780351072
  • Provider Enumeration Date: 08/25/2021
  • Last Update Date: 06/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426436783
  • Enrollment ID: I20220527002127

Medical Identifiers

Medical identifiers for Ryan Sunho Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780351072NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95018179 (California)Primary

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. Ryan Sunho Kim allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458
Entity NameElk Grove Urgent Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285812024
PECOS PAC ID: 0648340976
Enrollment ID: O20080529000487
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335
Entity NameCapitol Urgent Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508133208
PECOS PAC ID: 5294992343
Enrollment ID: O20120201000853
Entity NameNatomas Urgent Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063996122
PECOS PAC ID: 4880937333
Enrollment ID: O20190523002794

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. Ryan Sunho 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
Ryan Sunho Kim, NP-C
Po Box 255228,
Sacramento, CA 95865-5228

Ph: () -		Ryan Sunho Kim, NP-C
4647 2nd St Ste 130,
Davis, CA 95618-9428

Ph: (800) 972-5547

Reviews and Comments


Nurse Practitioner Nurses in Davis, CA

Laura Leslie Green, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2030 Sutter Pl, Davis, CA 95616
Phone: 530-750-5904    Fax: 530-750-5905
Vaneet Bains, MSN, RN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4647 2nd St Ste 130, Davis, CA 95618
Phone: 800-972-5547    
Mrs. Yasmine Arastu Jones, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2030 Sutter Pl Ste 1000, Davis, CA 95616
Phone: 530-750-5904    Fax: 530-750-5905
Susan B Gillespie, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2030 Sutter Pl, Suite 1000, Davis, CA 95616
Phone: 530-750-5904    Fax: 530-750-5905
Jessica Fernandez, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Shields Ave, Davis, CA 95616
Phone: 530-752-1035    Fax: 707-754-5842
Christopher Adam Phillips,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2330 W Covell Blvd, Davis, CA 95616
Phone: 530-668-2600    
Mr. Ronald Joseph Faigao Jacolbia, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 Shields Ave, Davis, CA 95616
Phone: 530-752-6475    Fax: 530-754-5842

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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.