Alex Kim, MSN, RN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95014273 Issued in CA

Practice address

15027 Calle la Paloma
Chino Hills, CA 91709-5011

Phone

(909) 973-3178

NPI assigned

Oct 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1376142976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15027 CALLE LA PALOMA",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095011",
            "telephone_number": "909-973-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15027 CALLE LA PALOMA",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095011",
            "telephone_number": "909-973-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ALEX",
        "credential": "MSN, RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING - NURSE PRACTITIONER LICENSE",
            "identifier": "95014273",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maral Khazali, DDS
• Duaa Kheirieh, PSYD
• Neha Khushalani
• Doris A.K. Kilzi, PHARM D
• Kim and Gandhi Kim Dental Corporation
• Benneth Bundit Kim, PT, DPT
• Jeffrey Kim, DDS
• Jenny Kim
• Jin Young Kim, DDS, MS
• Karis Kim

• Family Nurse Practitioner in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.