Individual provider Active NPI

Michelle Kim West, FNP-C

  • Family Nurse Practitioner
  • Rosemead, CA
National Provider Identifier
1821530163
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011734 Issued in CA
Practice address
4619 Rosemead Blvd
Rosemead, CA 91770-1478
Phone
(626) 408-5927
NPI assigned
Nov 16, 2016
Last updated
Jun 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-2209 HI
Family Nurse Practitioner 363LF0000X 95011734 CA Primary

Addresses

Primary practice location

4619 Rosemead Blvd
Rosemead, CA 91770-1478

Mailing address

PO Box 1849
Monrovia, CA 91017-5849
Phone (626) 408-5927

Other practice location 1

45-1151 Kamehameha Hwy Ste C
Kaneohe, HI 96744-3211
Phone (808) 247-7770

Other practice location 2

5353 G St
Chino, CA 91710-5249
Phone (626) 408-5927

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200416000782 CA Practitioner - Nurse Practitioner 9335491117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntington Specialist and Nursing CorporationGroup PAC ID 8820399264, 11 clinicians

Practice addresses (Care Compare)

5353 G St
Chino, CA 91710-5249
Phone (626) 408-5927

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95011734CAMDFamily Nurse Practitioner
APRN-2209HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SNF Wound Care CurrentSince Sep 1, 2022 Accepting new patients
Innovation MD LLC CurrentSince Oct 1, 2019 Accepting new patients
Hopena Health LLC Family Current Accepting new patients
Huntington Specialist & Nursing Corporation CurrentSince Mar 16, 2020 Accepting new patients

Locations

5353 G St
Chino, CA 91710
Phone (626) 335-1919

1244 Travis Blvd
Fairfield, CA 94533
Phone (707) 422-7750

1832 B St
Hayward, CA 94541
Phone (510) 538-3866

517 S Myrtle Ave
Ste 101
Monrovia, CA 91016
Phone (626) 358-0322

4619 Rosemead Blvd
Rosemead, CA 91770
Phone (626) 286-1191

4619 Rosemead Blvd
#M
Rosemead, CA 91770

45-1151 Kamehameha Hwy
Ste C
Kaneohe, HI 96744
Phone (808) 247-1144

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 1

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": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1821530163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910175849",
            "telephone_number": "626-408-5927",
            "fax_number": "626-358-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 ROSEMEAD BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701478",
            "telephone_number": "626-408-5927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45-1151 Kamehameha Hwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Kaneohe",
            "state": "HI",
            "postal_code": "967443211",
            "country_code": "US",
            "telephone_number": "808-247-7770",
            "fax_number": "808-247-7799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5353 G St",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917105249",
            "country_code": "US",
            "telephone_number": "626-408-5927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "MICHELLE",
        "middle_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-2209",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

Verify at the official NPI Registry.