Individual provider Active NPI

Catherine M Yim, MD

  • Diagnostic Radiology Physician
  • Sylmar, CA
National Provider Identifier
1821190927
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A74155 Issued in CA
Practice address
14445 Olive View Drive
2D 115 Olive View Medical Center
Sylmar, CA 91342
Phone
(818) 364-4078
Fax
(818) 364-4071
NPI assigned
Sep 1, 2006
Last updated
Nov 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A74155 CA Primary

Addresses

Primary practice location

14445 Olive View Drive
2D 115 Olive View Medical Center
Sylmar, CA 91342

Mailing address

14445 Olive View Drive
2D 115
Sylmar, CA 91342
Phone (818) 364-4078

Other identifiers 1

IdentifierTypeStateIssuer
00A741550MedicaidCA

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
I20040701000611 CA Practitioner - Diagnostic Radiology 3274510839 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Auditor Controller CurrentSince Nov 20, 2017 Accepting new patients
Insight Health Corp Diagnostic Radiology CurrentSince Aug 15, 2000 Accepting new patients
County of Los Angeles CurrentSince Nov 20, 2017 Accepting new patients
County of Los Angeles Current Accepting new patients
Tower Imaging Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Saint John's Tower Imaging Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology Past Accepting new patients

Locations

File 57174
Los Angeles, CA 90074

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

14445 Olive View Dr
#2C155
Sylmar, CA 91342
Phone (818) 364-3001

14445 Olive View Dr
#2D
Sylmar, CA 91342
Phone (818) 364-4078

14445 Olive View Dr
Bldg 2212
Sylmar, CA 91342
Phone (747) 210-3535

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1821190927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14445 OLIVE VIEW DRIVE",
            "address_2": "2D 115",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "91342",
            "telephone_number": "818-364-4078",
            "fax_number": "818-364-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 OLIVE VIEW DRIVE",
            "address_2": "2D 115 OLIVE VIEW MEDICAL CENTER",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "91342",
            "telephone_number": "818-364-4078",
            "fax_number": "818-364-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A74155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A741550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.