Active NPI
Hee Kim, FNP
- Family Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95021142
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Medical Clinics, LLC | Current | Accepting new patients | |
| Minuteclinic Diagnostic Medical Group of California Inc | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic Medical Group of San Diego Inc | Family | Current | Accepting new patients |
| Alaska Urgent Care, LLC | Current | Accepting new patients | |
| Jurkowski Medical Corporation | Current | Accepting new patients | |
| Minuteclinic Diagnostic Medical Group of Orange County Inc | Family | Current | 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
- 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.
-
- Family Nurse Practitioner
- Burbank, CA
- NPI 1033309372
-
- Nurse Practitioner
- Irvine, CA
- NPI 1104013879
Family
-
- Family Nurse Practitioner
- El Cajon, CA
- NPI 1568659233
-
- Urgent Care Clinic/Center
- Wasilla, AK
- NPI 1316015480
-
- Urgent Care Clinic/Center
- Anchorage, AK
- NPI 1518389303
-
- Urgent Care Clinic/Center
- San Diego, CA
- NPI 1750644258
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.