Tien Thi Kim DO

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95009402 Issued in CA

Practice address

7631 Wyoming St
Westminster, CA 92683-3904

Phone

(714) 379-0199

NPI assigned

Sep 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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 Choice Aco Inc

  • Internal Medicine Physician
  • Westminster, CA
  • NPI 1396416863

  Single Specialty

  NPD (past)
• Toan Q. Tran, M.D. , Inc.

  • Internal Medicine Physician
  • Westminster, CA
  • NPI 1447340070

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1508348632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15612 WILSON ST",
            "city": "MIDWAY CITY",
            "state": "CA",
            "postal_code": "926551647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 WYOMING ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833904",
            "telephone_number": "714-379-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "TIEN",
        "middle_name": "THI KIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95009402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muu N DO, DDS
• Nathan Hoang DO
• Samantha Thao-Nguyen DO
• Susan DO, O.D.
• Thinh Duc DO, OD
• Doan Hearing Aid Center, Inc.
• Bong Doan, M.D.
• Hai Au Minh Doan, DDS
• Huy Quoc Doan, D.C.
• Jimmy Doan, M.D.

• Primary Care Nurse Practitioner in Westminster, CA
• Providers in Westminster, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.