Yen Tse Kim, DNP, FNP, AGNP, BSN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95002946 Issued in CA

Practice address

1182 N Euclid St
Anaheim, CA 92801-1900

Phone

(714) 399-9222

NPI assigned

Sep 28, 2015

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Joint and Spine Medical Center IncGroup PAC ID 2163765298, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Advanced Joint and Spine Medical Center Inc.

  dba OC Wellness Physicians Medical Group Orange

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Orange, CA
  • NPI 1962930628
  Medicare reassignment Care Compare group NPD
• Albion Medical Partners of California West P C

  dba CareMore Health Medical Partners West, PC

  • Internal Medicine Physician
  • Cerritos, CA
  • NPI 1073110607
  Medicare reassignment NPD
• Superior Joint and Spine Medical Center Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Westminster, CA
  • NPI 1679093728
  Medicare reassignment NPD
• April Lopez Chiropractic. a Professional Corporation

  dba Stadium Chiropractic

  • Rehabilitation Chiropractor
  • Orange, CA
  • NPI 1255452835
  NPD (past)

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1760852263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "562-622-2800",
            "fax_number": "562-741-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011900",
            "telephone_number": "714-399-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YEN",
        "middle_name": "TSE",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP, AGNP, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95002946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa H Kim, D.D.S.
• Won Kim, M.D.
• Wonae Kim, FNP
• Wooshil E Kim, L.AC
• Yejoio Kim
• Yenah Kim
• Yong Ho Kim, M.D.
• Yonghwan Kim, D.D.S
• Young Kim, DDS
• Young Chul Kim, MD

• Nurse Practitioner in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.