Individual provider Active NPI

Christine Kim

  • Family Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1154042885
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022315 Issued in CA
Practice address
58 Capricorn
Irvine, CA 92618-1187
Phone
(562) 455-9669
NPI assigned
Sep 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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 95022315 CA Primary

Addresses

Primary practice location

58 Capricorn
Irvine, CA 92618-1187

Mailing address

58 Capricorn
Irvine, CA 92618-1187
Phone (562) 455-9669

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
I20221122003518 CA Practitioner - Nurse Practitioner 1052789039 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HMTS IncGroup PAC ID 1951750413, 118 clinicians

Practice addresses (Care Compare)

1190 Baker St
Suite 105
Costa Mesa, CA 92626-4105
Phone (714) 477-8460

15000 Kensington Park Dr
Suite 170
Tustin, CA 92782-1836
Phone (714) 477-8300

16205 Sand Canyon Ave
Suite 100
Irvine, CA 92618-3781
Phone (949) 557-0000

24060 Camino del Avion
Suite a
Dana Point, CA 92629-4006
Phone (949) 557-0870

26671 Aliso Creek Rd
Suite 101
Aliso Viejo, CA 92656-4807
Phone (949) 791-3107

26672 Portola Pkwy
Suite 100
Foothill Ranch, CA 92610-1773
Phone (949) 557-0710

3877 Portola Pkwy
Irvine, CA 92602-0828
Phone (949) 557-0720

5341 Warner Ave
Huntington Beach, CA 92649-4078
Phone (714) 477-8450

6340 Irvine Blvd
Suite 200
Irvine, CA 92620-2102
Phone (949) 559-6500

993 Avenida Pico
San Clemente, CA 92673-3908
Phone (949) 557-0400

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
85.87 of 100Reported as group
Quality
84.39
Promoting interoperability
100
Improvement activities
40
Cost
68.52

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
74.24

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95022315CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Clinic CurrentSince Nov 13, 2023 Accepting new patients
Cep America - California CurrentSince Jul 24, 2023 Accepting new patients
Cep America-California CurrentSince Jul 24, 2023 Accepting new patients
HMTS, Inc CurrentSince Jan 1, 2024 Accepting new patients
Cep America - California Current Accepting new patients
Badday Medex Inc CurrentSince Oct 5, 2022 Accepting new patients
Cep America - California Current Accepting new patients
Cep America - California CurrentSince Jul 24, 2023 Accepting new patients

Locations

26671 Aliso Creek Rd
Ste 101
Aliso Viejo, CA 92656
Phone (949) 360-0330

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

12410 Seal Beach Blvd
Ste F
Seal Beach, CA 90740
Phone (562) 516-3339

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1154042885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 CAPRICORN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181187",
            "telephone_number": "562-455-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CAPRICORN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181187",
            "telephone_number": "562-455-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.