Individual provider Active NPI

Yaehee Kim

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1043666795
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004191 Issued in CA
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

Updated by the provider on May 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210507000665 CA Practitioner - Nurse Practitioner 3577972389 Reassigns benefits to 2 organizations

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
Peyman Younesi MD Professional CorporationGroup PAC ID 9032640164, 8 clinicians

Practice addresses (Care Compare)

413 E Cypress St
Glendale, CA 91205-3334
Phone (818) 244-2323

Hospital & facility affiliations

  • Healthview Home Health, LLC Home health agency, Cerritos, CA, CCN 557727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95004191CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unicare Community Health Center, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Unicare Community Health Center Inc CurrentSince Jan 5, 2026 Accepting new patients
Ac and CS PastSince Aug 23, 2025 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.