Kim Youngrae Medical, Inc

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

KIM YOUNGRAE MEDICAL, INC

Practice address

5730 Beach Blvd
#200
Buena Park, CA 90621-4305

Phone

(714) 588-4024

NPI assigned

Nov 21, 2022

Last updated

Nov 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Youngrae Kim, M.D.NPI 1235227760

Title

President

Phone

(714) 588-4037

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Youngrae Kim, M.D.

  • Rheumatology Physician
  • Anaheim, CA
  • NPI 1235227760

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Tashi Paldon Bhutia, PT

  • Physical Therapist
  • Santa Ana, CA
  • NPI 1396293684
  NPD (past)
• Maricar Fanuga, PT

  • Physical Therapist
  • Downey, CA
  • NPI 1841741964
  NPD (past)
• Ling Bing Li

  • Occupational Therapist
  • Van Nuys, CA
  • NPI 1649833773

  Single Specialty

  NPD (past)
• Ekta Kamani Sangani, DPT

  • Physical Therapist
  • Cerritos, CA
  • NPI 1952679235
  NPD (past)
• Julee Seo

  • Physical Therapist
  • Garden Grove, CA
  • NPI 1497338727
  NPD (past)
• Kyung-Ran Tae, OT/L

  • Occupational Therapist
  • Redding, CA
  • NPI 1902198575
  NPD (past)
• Remegio Garcia Jr., PHYSICAL THERAPIST

  • Physical Therapist
  • Hobbs, NM
  • NPI 1649479155
  NPD (past)
• Sungmin Kim

  • Physical Therapist
  • Fort Lee, NJ
  • NPI 1891268934
  NPD (past)

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1275242083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 BEACH BLVD",
            "address_2": "#200",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214305",
            "telephone_number": "714-588-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 BEACH BLVD",
            "address_2": "#200",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214305",
            "telephone_number": "714-588-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM YOUNGRAE MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "YOUNGRAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-588-4037",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sohanabanu Irshad Khalak, PHARMD
• Shahd Kharouf
• Pooja Khirasaria
• Rebecca Kiani, PHARMD
• Kim & Lee DDS Inc.
• Ashlie J Kim
• Chang Ho Kim, LAC
• Christine Kim
• Christine E Kim, PHD
• Daniel Seung Kim

• Rheumatology Physician in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.