Individual provider Active NPI

Trang Thi Kim

  • Psychiatric/Mental Health Nurse Practitioner
  • Murrieta, CA
National Provider Identifier
1003560616
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95019465 Issued in CA
Practice address
41197 Golden Gate Cir Ste 201
Murrieta, CA 92562-6999
Phone
(951) 535-7314
NPI assigned
Feb 11, 2022
Reactivated
Sep 24, 2026
Last updated
Oct 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95019465 CA Primary

Addresses

Primary practice location

41197 Golden Gate Cir Ste 201
Murrieta, CA 92562-6999

Mailing address

3643 W 133Rd St
Hawthorne, CA 90250-6217

Other practice location 1

2615 Pacific Coast Hwy Ste 330
Hermosa Beach, CA 90254-2227
Phone (949) 441-0041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1003560616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 W 133RD ST",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41197 GOLDEN GATE CIR STE 201",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626999",
            "telephone_number": "951-535-7314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 Pacific Coast Hwy Ste 330",
            "address_purpose": "LOCATION",
            "city": "Hermosa Beach",
            "state": "CA",
            "postal_code": "902542227",
            "country_code": "US",
            "telephone_number": "949-441-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "TRANG",
        "middle_name": "THI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "deactivation_date": "2025-05-20",
        "reactivation_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.