Michael P Klementich, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95222389 Issued in CA

Practice address

745 E Valley Blvd # 259
San Gabriel, CA 91776-3549

Phone

(626) 695-5737

NPI assigned

Oct 8, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1124993233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 E VALLEY BLVD # 259",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763549",
            "telephone_number": "626-695-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 E VALLEY BLVD # 259",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763549",
            "telephone_number": "626-695-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMENTICH",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95222389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heejoung Kim, DDS
• Kwon Soon Yoo Kim, NURSE PRACTIONER
• Songyi Kim
• Tokin Kim, DDS
• James Edward King, BCBA-D
• George Ming Hui Ko, D.D.S.
• William Weng Ping Ko, M.D.
• Yih Jen Kok, M.D.
• Lorna Kong-Thein, M.D.
• Golden Kong, DDS

• Registered Nurse in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.