Yung Kim

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2 N Market St Ste 420
San Jose, CA 95113-1211

Phone

(510) 358-8926

NPI assigned

May 25, 2023

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1871285833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 CALERO AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233911",
            "telephone_number": "279-289-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N MARKET ST STE 420",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951131211",
            "telephone_number": "510-358-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YUNG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yeon Sun Kim, PA-C
• Young Kim, MD,PHD
• Youngrim Kim
• Youngshin Teresa Kim, MFT
• Yun Kim
• Lauren Mills Kimball, ASW
• Margaret Kathleen Kimball, RN, BSN
• Kimberlin Borca Leon, Licensed Clinical Social Worker, Inc.
• Kimberly Brown Naturopathic Doctor, Inc.
• Kimberly'S Elder Kare Kottage

• Peer Specialist in San Jose, CA
• Providers in San Jose, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.