Active NPI
Shin Young Kim, PT
- Specialist
- Westminster, CA
National Provider Identifier
1871866608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT23449
- Practice address
- 7171 Trask Ave
Westminster, CA 92683-2671 - Phone
- (310) 316-0381
- NPI assigned
- Feb 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT23449 | CA | Primary |
Addresses
Primary practice location
7171 Trask Ave
Westminster, CA 92683-2671
Mailing address
7171 Trask Ave
Westminster, CA 92683-2671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT23449 | Other | CA | PHYSICAL THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT23449 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1871866608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7171 TRASK AVE",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926832671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7171 TRASK AVE",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926832671",
"telephone_number": "310-316-0381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SHIN YOUNG",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-09",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PT23449",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "PT23449",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.