Individual provider Active NPI

Yuliya Kim

  • Family Medicine Physician
  • Delano, CA
National Provider Identifier
1649859570
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A193474 Issued in CA
Practice address
425 Del Sol Pkwy
Delano, CA 93215-3442
Phone
(661) 725-4780
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A193474 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

425 Del Sol Pkwy
Delano, CA 93215-3442

Mailing address

PO Box 737
San Joaquin, CA 93660-0737

Other practice location 1

4711 W Ashlan Ave
Fresno, CA 93722-4307
Phone (559) 203-6640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001002988 CA Practitioner - Family Practice 2961800115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

1508 Garces Hwy
Suite 1
Delano, CA 93215-3687
Phone (661) 725-2788

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A193474CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista CurrentSince Aug 21, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Aug 21, 2024 Accepting new patients
Clinica Sierra Vista Past Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

425 Del Sol Pkwy
Delano, CA 93215
Phone (661) 720-4011

1508 Garces Hwy
Ste 1
Delano, CA 93215
Phone (661) 725-4780

67 Evans Rd
Wofford Hts, CA 93285
Phone (760) 376-2276

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ykim68451@valleychildrens-prd.direct-ci.com
  • Direct secure messaging: yuliya.kim.p4@direct.vht.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1649859570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737",
            "city": "SAN JOAQUIN",
            "state": "CA",
            "postal_code": "936600737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 DEL SOL PKWY",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153442",
            "telephone_number": "661-725-4780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4711 W Ashlan Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937224307",
            "country_code": "US",
            "telephone_number": "559-203-6640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "YULIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A193474",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

Verify at the official NPI Registry.