Active NPI
John H Kim, NP
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95134782
- Practice address
- 150 UCLA Medical Plaza 4TH Floor RNPH (4-East)
Los Angeles, CA 90095-5518 - Phone
- (310) 825-9989
- Fax
- (269) 210-2477
- NPI assigned
- Jul 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95134782 | CA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5010017 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 709540 | NY |
Addresses
Primary practice location
150 UCLA Medical Plaza 4TH Floor RNPH (4-East)
Los Angeles, CA 90095-5518
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.32 of 100
- Quality
- 76.01
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 56.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5010017 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
| 709540 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Matthew Wong MD, Inc | Current | Accepting new patients | |
| Korean Health, Education, Information and Research Center | Current | Accepting new patients | |
| Manolito B. Fidel, M.D., Inc | Current | Accepting new patients | |
| Korean Health Education Information and Research Center | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients |
Locations
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
3727 W 6th St
Ste 210
Los Angeles, CA 90020
Phone (213) 235-2500
3727 W 6th St
Ste 200
Los Angeles, CA 90020
Phone (213) 235-2500
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
3255 Wilshire Blvd
Ste 120
Los Angeles, CA 90010
Phone (213) 235-1212
300 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-8438
23700 Camino del Sol
Torrance, CA 90505
Phone (310) 530-1151
2740 Prosperity Ave
Ste 200
Fairfax, VA 22031
Phone (703) 208-2273
8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jkim901672@direct.uclahealth.org
Organizations & group practices 8
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.
-
- Primary Care Clinic/Center
- Los Angeles, CA
- NPI 1437377454
-
- Psychiatry Physician
- Torrance, CA
- NPI 1679859359
-
- Psychiatry Physician
- Torrance, CA
- NPI 1851524433
-
dba UCLA Neuropsychiatric Behavioral Health
- Adult Development & Aging Psychologist
- Los Angeles, CA
- NPI 1750368999
-
dba Kheir Pharmacy
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1093562589
-
dba Inova Urgent Care Center
- Urgent Care Clinic/Center
- Vienna, VA
- NPI 1275886418
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1821441551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 UCLA MEDICAL PLAZA 4TH FLOOR RNPH (4-EAST)",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900955518",
"telephone_number": "310-825-9989",
"fax_number": "269-210-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOHN",
"middle_name": "H",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-18",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95134782",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5010017",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "709540",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.