MR. STAN S KIM – Marriage & Family Therapist, NPI 1902935646
Marriage & Family Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,984 MARRIAGE AND FAMILY THERAPIST in CA
Provider Addresses for MR. STAN S KIM
6305 Woodman Ave
Van Nuys, CA 914012346
Phone: (818) 908-4999
Type: Location
2001 Santa Monica Blvd Ste 860W
Santa Monica, CA 904042189
Phone: (310) 301-7396
Fax: (310) 828-5165
Type: Location
11980 San Vicente Blvd Ste 102
Los Angeles, CA 900495012
Phone: (310) 301-7396
Fax: (310) 828-5165
Type: Location
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone:
Type: Mailing
355 N LA BREA AVE
LOS ANGELES, CA 900362517
Phone: (310) 301-7396
Fax: (310) 828-5165
Type: Location
6305 WOODMAN AVE
VAN NUYS, CA 914012346
Phone: (818) 908-4999
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240130003388 | I | Marriage And Family Therapist | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CA | |
| N E U R O L O G Y | CA | |
| - | CA | |
| - | CA | |
| Marriage And Family Therapist | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| General Surgery | CA | |
| - | CA | |
| N E U R O L O G Y | CA |
Reviews
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