Active NPI
Yaehee Kim
- Family Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95004191
- Practice address
- 410 S Commonwealth Ave
Apt#1
Los Angeles, CA 90020-1225 - Phone
- (714) 453-8753
- NPI assigned
- May 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95004191 | CA | Primary |
Addresses
Primary practice location
410 S Commonwealth Ave
Apt#1
Los Angeles, CA 90020-1225
Mailing address
410 S Commonwealth Ave
Apt#1
Los Angeles, CA 90020-1225
Phone (714) 453-8753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
413 E Cypress St
Glendale, CA 91205-3334
Phone (818) 244-2323
Hospital & facility affiliations
- Healthview Home Health, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95004191 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unicare Community Health Center, Inc. | Current | Accepting new patients | |
| Unicare Community Health Center Inc | Current | Accepting new patients | |
| Ac and CS | Past | Accepting new patients |
Locations
107 N McKinley St
Corona, CA 92879
Phone (951) 358-0141
741 S Alvarado St
Los Angeles, CA 90057
Phone (213) 413-6666
2409 N Broadway
Los Angeles, CA 90031
Phone (213) 225-8038
1151 E Walnut St
Ontario, CA 91761
Phone (909) 467-0797
437 N Euclid Ave
Ontario, CA 91762
Phone (909) 749-1835
1501 E Holt Ave
Ste A
Pomona, CA 91767
Phone (909) 623-3600
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Chico, CA
- NPI 1962104976
-
- Federally Qualified Health Center (FQHC)
- Riverside, CA
- NPI 1639066491
-
- Federally Qualified Health Center (FQHC)
- Corona, CA
- NPI 1265999296
-
- Federally Qualified Health Center (FQHC)
- Huntington Park, CA
- NPI 1871484618
-
- Clinical Social Worker
- Burbank, CA
- NPI 1659794246
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cerritos, CA
- NPI 1881226322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1043666795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 S COMMONWEALTH AVE",
"address_2": "APT#1",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201225",
"telephone_number": "714-453-8753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 S COMMONWEALTH AVE",
"address_2": "APT#1",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201225",
"telephone_number": "714-453-8753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YAEHEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95004191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.