Individual provider Active NPI

Hee Kim, FNP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1275265696
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021142 Issued in CA
Practice address
3830 Valley Centre Dr
San Diego, CA 92130-3320
Phone
(858) 720-0554
NPI assigned
Jun 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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 95021142 CA Primary

Addresses

Primary practice location

3830 Valley Centre Dr
San Diego, CA 92130-3320

Mailing address

10605 Scripps Poway Pkwy Ste C
San Diego, CA 92131-3925

Other practice location 1

15525 Pomerado Rd Ste B1
Poway, CA 92064-2425
Phone (858) 487-8333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221101001727 CA Practitioner - Nurse Practitioner 2769859990 Reassigns benefits to 3 organizations
I20231205003257 AK Practitioner - Nurse Practitioner 2769859990 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Medical Clinics, LLC CurrentSince Mar 24, 2025 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Jul 7, 2022 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Jul 7, 2022 Accepting new patients
Alaska Urgent Care, LLC CurrentSince Oct 24, 2023 Accepting new patients
Jurkowski Medical Corporation CurrentSince Jun 23, 2026 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Jul 7, 2022 Accepting new patients

Locations

300 E Dimond Blvd
Ste 12A
Anchorage, AK 99515
Phone (907) 341-7757

300 E Dimond Blvd
Ste 12
Anchorage, AK 99515
Phone (907) 341-7722

1700 E Parks Hwy
Ste 200
Wasilla, AK 99654
Phone (907) 373-6055

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

10605 Scripps Poway Pkwy
Ste C
San Diego, CA 92131
Phone (858) 622-0554

4829 Clairemont Dr
San Diego, CA 92117
Phone (858) 273-5300

10605 Scripps Poway Pkwy
San Diego, CA 92131
Phone (858) 622-0554

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

2791 Agoura Rd
Westlake Village, CA 91361
Phone 8054954938 ext. 8221

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1275265696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 SCRIPPS POWAY PKWY STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 VALLEY CENTRE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303320",
            "telephone_number": "858-720-0554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15525 Pomerado Rd Ste B1",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642425",
            "country_code": "US",
            "telephone_number": "858-487-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HEE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.