Individual provider Active NPI

Sujin Kim, NP

  • Family Nurse Practitioner
  • Bellflower, CA
National Provider Identifier
1083479984
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025754 Issued in CA
Practice address
8800 Alondra Blvd Ste C
Bellflower, CA 90706-4355
Phone
(562) 602-2508
Fax
(562) 602-2382
NPI assigned
Feb 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 95025754 CA Primary

Addresses

Primary practice location

8800 Alondra Blvd Ste C
Bellflower, CA 90706-4355

Mailing address

8800 Alondra Blvd Ste C
Bellflower, CA 90706-4355
Phone (562) 602-2508

Other practice location 1

8540 Alondra Blvd Ste B2
Paramount, CA 90723-5200
Phone (562) 602-2508

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
I20240425001655 CA Practitioner - Nurse Practitioner 8022458926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dalia Dawoud MD IncGroup PAC ID 7012370265, 19 clinicians

Practice addresses (Care Compare)

30465 Avenida de Las Flores
Suite a
Rancho Santa Margarita, CA 92688-3937
Phone (949) 264-6001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Inc CurrentSince Mar 11, 2024 Accepting new patients
Dalia Dawoud MD Inc CurrentSince Aug 18, 2025 Accepting new patients
Dalia Dawoud MD Inc CurrentSince Aug 18, 2025 Accepting new patients
Dalia Dawoud MD Inc Current Accepting new patients
Community Medicine Inc. CurrentSince Mar 11, 2024 Accepting new patients

Locations

8800 Alondra Blvd
Ste C
Bellflower, CA 90706
Phone (562) 602-2508

4200 Chino Hills Pkwy
Ste 800
Chino Hills, CA 91709
Phone (909) 606-6559

2790 Cabot Dr
Ste 145
Corona, CA 92883
Phone (951) 603-3030

8540 Alondra Blvd
Ste B2
Paramount, CA 90723
Phone (562) 602-2508

30465 Avenida de las Flores
Ste A
Rancho Santa Margarita, CA 92688
Phone (949) 264-6001

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.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1083479984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 ALONDRA BLVD STE C",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064355",
            "telephone_number": "562-602-2508",
            "fax_number": "562-602-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 ALONDRA BLVD STE C",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064355",
            "telephone_number": "562-602-2508",
            "fax_number": "562-602-2382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8540 Alondra Blvd Ste B2",
            "address_purpose": "LOCATION",
            "city": "Paramount",
            "state": "CA",
            "postal_code": "907235200",
            "country_code": "US",
            "telephone_number": "562-602-2508",
            "fax_number": "562-602-2382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUJIN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.