National Mental Health Physician Assistant Corporation

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

NATIONAL MENTAL HEALTH PHYSICIAN ASSISTANT CORPORATION

Practice address

720 Knollwood LN
San Dimas, CA 91773

Phone

(628) 215-1120

NPI assigned

Mar 28, 2025

Organization subpart

No

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

Authorized official

Name

Yeon Kim, PA-CNPI 1063982981

Title

President

Phone

(628) 215-1120

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yeon Kim, PA-C

  • Medical Physician Assistant
  • San Francisco, CA
  • NPI 1063982981
  NPD Authorized official

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1194528901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 KNOLLWOOD LN",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 KNOLLWOOD LN",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "91773",
            "telephone_number": "628-215-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MENTAL HEALTH PHYSICIAN ASSISTANT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "628-215-1120",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Murphey
• Dana A Musallet
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• Jacquelyn Denise Najera
• Ashley Nakamura, O.D.
• Sara Navarro
• Rebecca Nelson
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• Kelly Ngo
• Andrew Lam-Dinh Nguyen, MD

• Physician Assistant in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.