Jieun Sim

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95008562 Issued in CA

Practice address

6714 Beach Blvd
Buena Park, CA 90621-3410

Phone

(714) 752-6778

NPI assigned

Mar 6, 2018

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Soo Woong Kang MD Inc

  • Internal Medicine Physician
  • Norwalk, CA
  • NPI 1689880593
  Medicare reassignment NPD
• Compre-Care Medical, Inc.

  dba SK Medical Center

  • Internal Medicine Physician
  • Norwalk, CA
  • NPI 1952710048
  NPD (past)

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1932601952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11832 ROSECRANS AVE # 127",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504107",
            "telephone_number": "909-680-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6714 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213410",
            "telephone_number": "714-752-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIM",
        "first_name": "JIEUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95008562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soomin Sarah Shin, PT
• Roman Carlo Silvestre, PTA
• Sim C Hoffman (Advanced Professional Imaging Medical Group)
• Sim C. Hoffman, MD, Inc., a Professional Corporation
• Gun Hee Sim
• Erica Marie Simonetti
• John Sinambal
• Monica Singh
• Bassam Slibi, D.C.
• Laurence Smith

• Family Nurse Practitioner in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.