Active NPI
Yoon Hoon Kim, MD
- Psychiatry Physician
- Corona, CA
National Provider Identifier
1962421529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C51675
- Practice address
- 629 N Main St Ste C3
Corona, CA 92880-1410 - Phone
- (951) 738-2400
- Fax
- (951) 340-3566
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35-043662 | OH | |
| Psychiatry Physician | 2084P0800X | C51675 | CA | Primary |
Addresses
Primary practice location
629 N Main St Ste C3
Corona, CA 92880-1410
Mailing address
629 N Main St Ste C3
Corona, CA 92880-1410
Phone (951) 738-2400
Other practice location 1
769 W Blaine St
suite B
Riverside, CA 92507-3970
Phone (951) 358-4705
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C51675 | CA | MD | Psychiatry Physician |
| 35-043662 | OH | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1962421529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 N MAIN ST STE C3",
"city": "CORONA",
"state": "CA",
"postal_code": "928801410",
"telephone_number": "951-738-2400",
"fax_number": "951-340-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 N MAIN ST STE C3",
"city": "CORONA",
"state": "CA",
"postal_code": "928801410",
"telephone_number": "951-738-2400",
"fax_number": "951-340-3566"
}
],
"practiceLocations": [
{
"address_1": "769 W Blaine St",
"address_2": "suite B",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925073970",
"country_code": "US",
"telephone_number": "951-358-4705",
"fax_number": "951-358-4719",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "YOON",
"middle_name": "HOON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35-043662",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C51675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.