Individual provider Active NPI

Younghoon Kim, PT,DPT,OCS,CSCS

  • Orthopedic Physical Therapist
  • Lancaster, CA
National Provider Identifier
1629233234
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
27406 Issued in CA
Practice address
42301 10TH St W
Lancaster, CA 93534-7000
Phone
(661) 942-2202
Fax
(661) 942-2203
NPI assigned
Jul 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 27406 CA Primary

Addresses

Primary practice location

42301 10TH St W
Lancaster, CA 93534-7000

Mailing address

PO Box 5203
Lancaster, CA 93539
Phone (661) 942-2202

Other identifiers 2

IdentifierTypeStateIssuer
T7KDOtherCAPVERIFY
AS087ZOtherCAPROVIDER TRANSACTION ACCESS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081203000855 CA Practitioner - Physical Therapist in Private Practice 8325109721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Young Physical TherapyGroup PAC ID 3375604788, 3 clinicians

Practice addresses (Care Compare)

42301 10TH St W
Lancaster, CA 93534-7000
Phone (661) 942-2202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27406CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Young Physical Therapy Orthopedic CurrentSince Sep 19, 2008 Accepting new patients

Locations

42301 10th St W
Lancaster, CA 93534
Phone (661) 942-2202

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1629233234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5203",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93539",
            "telephone_number": "661-942-2202",
            "fax_number": "661-942-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42301 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347000",
            "telephone_number": "661-942-2202",
            "fax_number": "661-942-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNGHOON",
        "name_prefix": "Dr.",
        "credential": "PT,DPT,OCS,CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "27406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PVERIFY",
            "identifier": "T7KD",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACTION ACCESS NUMBER",
            "identifier": "AS087Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.