Individual provider Active NPI

Yen Kim Hong, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1952862021
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95032016 Issued in CA
Practice address
2030 Main St Ste 1300
PMB #2011
Irvine, CA 92614-7220
Phone
(949) 403-3499
Fax
(949) 403-7338
NPI assigned
Mar 29, 2019
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95032016 CA Primary
Registered Nurse 163W00000X 95138629 CA

Addresses

Primary practice location

2030 Main St Ste 1300
PMB #2011
Irvine, CA 92614-7220

Mailing address

2030 Main St Ste 1300
PMB #2011
Irvine, CA 92614-7220
Phone (949) 403-3499

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
I20241216001122 CA Practitioner - Nurse Practitioner 8729514666 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95138629CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Nov 21, 2024 Accepting new patients
Mental Health and Nursing PC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Coast Medical, PC Psychiatric/Mental Health CurrentSince Dec 1, 2024 Accepting new patients
Renewed Medical Group, a Professional Medical Corporation Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients

Locations

1720 W Ball Rd
Ste 4C
Anaheim, CA 92804
Phone (714) 683-1472

421 N Brookhurst St
Ste 119
Anaheim, CA 92801
Phone (714) 253-6570

532 N Magnolia Ave
Anaheim, CA 92801
Phone (408) 475-4446

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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.

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1952862021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 MAIN ST STE 1300",
            "address_2": "PMB #2011",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926147220",
            "telephone_number": "949-403-3499",
            "fax_number": "949-403-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 MAIN ST STE 1300",
            "address_2": "PMB #2011",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926147220",
            "telephone_number": "949-403-3499",
            "fax_number": "949-403-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "YEN",
        "middle_name": "KIM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95032016",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95138629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.