Scarlett Kim

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95023022 Issued in CA

Practice address

15825 Laguna Canyon Rd
Irvine, CA 92618-2125

Phone

(949) 679-0000

NPI assigned

Jan 10, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1972217495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25205 GROVEWOOD",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306484",
            "telephone_number": "714-249-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 LAGUNA CANYON RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182125",
            "telephone_number": "949-679-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SCARLETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95023022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond J Kim
• Richard T Kim, DO
• Sadie Mimi Kim, PA
• Sara Kim
• Sara Soohee Kim, M.D.
• Seon Ryang Kim, PH.D.
• Sheryl Kim
• Sohyun Angela Kim, OTR/L
• Sool Yeong Kim, LIC.
• Soyang Kim

• Adult Health Nurse Practitioner in Irvine, CA
• Providers in Irvine, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.