Individual provider Active NPI

Robyn Kim

  • Family Nurse Practitioner
  • Lindsay, CA
National Provider Identifier
1326732355
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025208 Issued in CA
Practice address
833 Sequoia Ave
Lindsay, CA 93247-1424
Phone
(559) 562-1361
Fax
(559) 784-5433
NPI assigned
Jun 5, 2023
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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 95025208 CA Primary

Addresses

Primary practice location

833 Sequoia Ave
Lindsay, CA 93247-1424

Mailing address

119 S 6TH St
Alhambra, CA 91801-3616

Other practice location 1

222 W Henderson Ave
Porterville, CA 93257-1731
Phone (559) 784-5483

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
I20230922001288 CA Practitioner - Nurse Practitioner 0840644910 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95025208CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Erick Madrigal MD Mba Inc CurrentSince Sep 1, 2023 Accepting new patients
Erick Madrigal, MD, Mba, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Erick Madrigal, MD, Mba, Inc. Past Accepting new patients

Locations

833 Sequoia Ave
Lindsay, CA 93247
Phone (559) 562-1361

222 W Henderson Ave
Porterville, CA 93257
Phone (559) 784-5483

1410 S Mooney Blvd
Visalia, CA 93277
Phone (559) 635-1746

101 N Palm St
Woodlake, CA 93286
Phone (559) 564-0100

Interoperability endpoints

  • Direct secure messaging: robyn.kim.1@6501.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1326732355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S 6TH ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SEQUOIA AVE",
            "city": "LINDSAY",
            "state": "CA",
            "postal_code": "932471424",
            "telephone_number": "559-562-1361",
            "fax_number": "559-784-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 W Henderson Ave",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "932571731",
            "country_code": "US",
            "telephone_number": "559-784-5483",
            "fax_number": "559-784-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ROBYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindsay, CA

Sources for this page

Verify at the official NPI Registry.