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

Q: What is Yooron Kim's NPI number?

The NPI number for Yooron Kim is 1023785987. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Q: What is Yooron Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Yooron Kim was last updated on December 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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).

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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

Phone(562) 622-2800

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

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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.