Active NPI
Michelle Jay Kim, NP
- Family Nurse Practitioner
- Palos Verdes Peninsula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23796
- Practice address
- 4020 Montaigne Way
Palos Verdes Peninsula, CA 90274-3940 - Phone
- (310) 710-5179
- NPI assigned
- Oct 1, 2013
- Last updated
- Sep 22, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 23796 | CA | Primary |
Addresses
Primary practice location
4020 Montaigne Way
Palos Verdes Peninsula, CA 90274-3940
Mailing address
4020 Montaigne Way
Palos Verdes Peninsula, CA 90274-3940
Phone (310) 710-5179
Other practice location 1
901 Wilshire Blvd Fl 1
Santa Monica, CA 90401-1854
Phone (310) 829-8441
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23796 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Exer Medical Corporation | Current | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients |
Locations
831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
26777 Agoura Rd
Ste B4
Calabasas, CA 91302
Phone (818) 880-2225
235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010
2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355
390 N Pacific Coast Hwy
Ste 3000
El Segundo, CA 90245
Phone (818) 238-7081
7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271
475 Foothill Blvd
Ste K
La Canada, CA 91011
Phone (818) 528-6377
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573
3215 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (424) 295-0540
4730 Lincoln Blvd
Marina del Rey, CA 90292
Phone (424) 352-0371
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400
395 Silver Spur Rd
Rolling Hills Estates, CA 90274
Phone (424) 323-3500
14550 Soledad Canyon Rd
#100
Santa Clarita, CA 91387
Phone (661) 488-7402
25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020
25548 The Old Rd
#U1
Stevenson Ranch, CA 91381
701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400
15733 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-7754
Organizations & group practices 10
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.
-
dba Exer Urgent Care
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
dba Facey Medical Group
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
-
- Internal Medicine Physician
- Culver City, CA
- NPI 1144187451
-
- Family Medicine Physician
- Whittier, CA
- NPI 1427405737
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
dba Providence Express Care
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1962839258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 MONTAIGNE WAY",
"city": "PALOS VERDES PENINSULA",
"state": "CA",
"postal_code": "902743940",
"telephone_number": "310-710-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 MONTAIGNE WAY",
"city": "PALOS VERDES PENINSULA",
"state": "CA",
"postal_code": "902743940",
"telephone_number": "310-710-5179"
}
],
"practiceLocations": [
{
"address_1": "901 Wilshire Blvd Fl 1",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904011854",
"country_code": "US",
"telephone_number": "310-829-8441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "MICHELLE",
"middle_name": "JAY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-01",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "23796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Verdes Peninsula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.