YAEHEE KIM
NPI 1043666795
Nurse Practitioner - Family in Los Angeles, CA

Active since May 12, 2016PECOS EnrolledAccepts Medicare Assignment
410 S COMMONWEALTH AVE, APT#1, LOS ANGELES, CA 90020(714) 453-8753 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Yaehee Kim NPPES

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

YAEHEE KIM (NPI 1043666795) is an individual family provider in Los Angeles, California, licensed in California (95004191) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1043666795
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameYAEHEE KIM
Location Address410 S COMMONWEALTH AVE, APT#1Los Angeles, CA 90020-1225
Mailing Address410 S Commonwealth Ave, Apt#1Los Angeles, CA 90020-1225 · (714) 453-8753
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 12, 2016
NPI 1043666795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95004191
410 S COMMONWEALTH AVE, Los Angeles, CA 90020

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Yaehee Kim is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577972389
PECOS Enrollment IDI20210507000665
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
214 services202 patients
New patient office or other outpatient visit, 15-29 minutes 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
119 services119 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
90 services80 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90020 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043666795, enumerated as an "individual" on May 12, 2016.

The provider is located at 410 S COMMONWEALTH AVE APT#1 LOS ANGELES, CA 90020 and the phone number is (714) 453-8753.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.