YOORON KIM
NPI 1023785987
Nurse Practitioner - Primary Care in Cerritos, CA

Active since August 26, 2021PECOS Enrolled
12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703(562) 622-2800(562) 741-4479 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 28, 2021, Aug 26, 2021 (2 updates tracked since 2021).

About Yooron Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOORON KIM (NPI 1023785987) is an individual primary care provider in Cerritos, California, licensed in California (95015346) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023785987
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameYOORON KIM
Location Address12900 PARK PLAZA DR STE 150Cerritos, CA 90703-9329
Mailing Address12900 Park Plaza Dr Ste 150Cerritos, CA 90703-9329 · Fax (562) 741-4479
Fax(562) 741-4479
Sole ProprietorNo
Enumeration DateAugust 26, 2021
Last NPPES UpdateDecember 28, 20212 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
NPI 1023785987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in CA · 95015346
Also ListedRegistered NurseTaxonomy 163W00000X · License 815629 (CA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 95015346 (CA)
12900 PARK PLAZA DR STE 150, Cerritos, CA 90703

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Yooron Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
12900 PARK PLAZA DR STE 150, ATTENTION: MAGGIE NOLES
CERRITOS, CA 90703
Nurse Practitioner (Gerontology)
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703
Clinic/Center (Medical Specialty)
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703
Nurse Practitioner (Family)
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703
Family Medicine
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703
Nurse Practitioner (Gerontology)
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703
Nurse Practitioner (Family)
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703
Pharmacist
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023785987, enumerated as an "individual" on August 26, 2021.

The provider is located at 12900 PARK PLAZA DR STE 150 CERRITOS, CA 90703 and the phone number is (562) 622-2800.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.