Elijah Kim, PMHNP-BC
NPI 1225501109 · Psychiatric/Mental Health Nurse Practitioner · San Marcos, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elijah Kim, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in San Marcos, CA (NPI 1225501109).
Provider details
- NPI number
- 1225501109
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19455 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 4655 Telescope AveCarlsbad, CA 92008-3766Phone: (415) 260-5997
- 200 Mercy CircleOceanside, CA 92055Phone: (415) 260-5997
Registry dates
- Enumerated
- 2019-01-03
- Last updated
- 2026-05-22
- Certified
- 2026-05-22
Frequently asked questions
- What is Elijah Kim's NPI number?
- Elijah Kim's National Provider Identifier (NPI) is 1225501109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elijah Kim's specialty?
- Elijah Kim is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Elijah Kim located?
- Elijah Kim's practice location on file with NPPES is 277 Rancheros Dr Ste 301, San Marcos, CA 92069-2993.
- What is Elijah Kim's phone number?
- The practice phone number listed in the NPPES registry for Elijah Kim is (855) 501-1004.
- Does Elijah Kim accept Medicare?
- Elijah Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elijah Kim's NPI active?
- Yes — Elijah Kim's NPI (1225501109) is active in the NPPES registry as of the last update on 2026-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.