Individual provider Active NPI

Michelle Jay Kim, NP

  • Family Nurse Practitioner
  • Palos Verdes Peninsula, CA
National Provider Identifier
1962839258
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23796 Issued in CA
Practice address
4020 Montaigne Way
Palos Verdes Peninsula, CA 90274-3940
Phone
(310) 710-5179
NPI assigned
Oct 1, 2013
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140513002341 CA Practitioner - Nurse Practitioner 1658594973 Reassigns benefits to 5 organizations

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
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

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

LicenseStateTypeSpecialty
23796CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Aug 1, 2015 Accepting new patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Pih Health Physicians CurrentSince Jul 15, 2017 Accepting new patients
Cep America - California Current Accepting new patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Pih Health Physicians CurrentSince Jul 15, 2017 Accepting new patients
Pih Health Physicians Current Accepting new patients
Exer Medical Corporation CurrentSince Feb 11, 2020 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.

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

Verify at the official NPI Registry.