Organization Active NPI

Young Kim NP Nursing, Professional Corporation

  • Nursing Facility/Intermediate Care Facility
  • Chula Vista, CA
National Provider Identifier
1457550345
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NP 13780 Issued in CA
Legal business name
YOUNG KIM NP NURSING, PROFESSIONAL CORPORATION
Practice address
2227 Old Barn LN
Chula Vista, CA 91915-1946
Phone
(619) 990-8827
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Mrs. Youngmi P Kim, ANP
Title
Nurse Practitioner
Phone
(619) 990-8827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NP 13780 CA Primary

Addresses

Primary practice location

2227 Old Barn LN
Chula Vista, CA 91915-1946

Mailing address

2227 Old Barn LN
Chula Vista, CA 91915-1946
Phone (619) 990-8827

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1457550345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 OLD BARN LN",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151946",
            "telephone_number": "619-990-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 OLD BARN LN",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151946",
            "telephone_number": "619-990-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG KIM NP NURSING, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNGMI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "619-990-8827",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "NP 13780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.