Individual provider Active NPI

Sohyun Angela Kim, OTR/L

  • Occupational Therapist
  • Irvine, CA
National Provider Identifier
1447004387
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
26173 Issued in CA
Practice address
18 Endeavor Ste 105
Irvine, CA 92618-3180
Phone
(949) 360-6927
NPI assigned
Apr 16, 2024
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 26173 CA Primary

Addresses

Primary practice location

18 Endeavor Ste 105
Irvine, CA 92618-3180

Mailing address

1725 S Auburn Way Unit 613
Anaheim, CA 92805-6633
Phone (949) 573-7913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240502003387 CA Practitioner - Occupational Therapist in Private Practice 5193165439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Balance Solution Institute of Physiotherapy IncGroup PAC ID 2062427305, 29 clinicians

Practice addresses (Care Compare)

23141 Moulton Pkwy
Suite 111
Laguna Hills, CA 92653-1241
Phone (949) 340-6927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26173CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Balance Solution Institute of Physiotherapy Inc CurrentSince Apr 29, 2024 Accepting new patients
Sand Coast Rehab Physical Therapy Inc Occupational Therapist CurrentSince Nov 1, 2024 Accepting new patients
PNP Associates PastSince Apr 21, 2024 Accepting new patients
Rehab Alliance PastSince Jan 1, 2002 Accepting new patients

Locations

18 Endeavor
Ste 105
Irvine, CA 92618
Phone (949) 340-6927

18 Endeavor
Ste 208
Irvine, CA 92618
Phone (949) 276-4008

23141 Moulton Pkwy
Ste 111
Laguna Hills, CA 92653
Phone (949) 340-6927

22995 Mill Creek Dr
Ste A
Laguna Hills, CA 92653

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

13001 Seal Beach Blvd
Ste 100
Seal Beach, CA 90740
Phone (310) 799-6666

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1447004387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 S AUBURN WAY UNIT 613",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056633",
            "telephone_number": "949-573-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ENDEAVOR STE 105",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183180",
            "telephone_number": "949-360-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SOHYUN",
        "middle_name": "ANGELA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "26173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.