Active NPI
Isaac Y Kim
- Registered Nurse
- Pasadena, CA
National Provider Identifier
1639907447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95002960
- Practice address
- 9333 Imperial Hwy
Downey, CA 90242-2812 - Phone
- (562) 657-9000
- NPI assigned
- Jul 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 95002960 | CA | Primary |
Addresses
Primary practice location
9333 Imperial Hwy
Downey, CA 90242-2812
Mailing address
13047 Andy St
Cerritos, CA 90703-6120
Phone (562) 896-8241
Other practice location 1
420 34th St
Bakersfield, CA 93301-2237
Phone (661) 327-4647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95170472 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1639907447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13047 ANDY ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036120",
"telephone_number": "562-896-8241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9333 IMPERIAL HWY",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902422812",
"telephone_number": "562-657-9000"
}
],
"practiceLocations": [
{
"address_1": "420 34th St",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933012237",
"country_code": "US",
"telephone_number": "661-327-4647",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "ISAAC",
"middle_name": "Y",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-23",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95002960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.