HAE KYOUNG UM
NPI 1053154211
Nurse Practitioner - Psychiatric/Mental Health in Inglewood, CA

Active since June 17, 2024PECOS Enrolled
501 E HARDY ST STE 425, INGLEWOOD, CA 90301(747) 998-0387(747) 201-4700 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2026, Jun 17, 2024 (2 updates tracked since 2024).

About Hae Kyoung Um NPPES

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

HAE KYOUNG UM (NPI 1053154211) is an individual psychiatric/mental health provider in Inglewood, California, licensed in California (95038677) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053154211
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHAE KYOUNG UM
Location Address501 E HARDY ST STE 425Inglewood, CA 90301-4067
Mailing Address13100 Studebaker RdNorwalk, CA 90650-2531 · (855) 464-2234 · Fax (562) 929-2592
Fax(747) 201-4700
Sole ProprietorNo
Enumeration DateJune 17, 2024
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
NPI 1053154211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95038677
Also ListedRegistered NurseTaxonomy 163W00000X · License 95225136 (CA)
501 E HARDY ST STE 425, Inglewood, CA 90301

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Hae Kyoung Um 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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 90301 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $96.36
  • Minimum New Patient Price $62.96
  • Maximum New Patient Price $187.6
  • Average New Patient Copayment $24.09
  • Minimum New Patient Copayment $15.74
  • Maximum New Patient Copayment $46.9

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $109.96
  • Minimum Established Patient Price $20.84
  • Maximum Established Patient Price $153.61
  • Average Established Patient Copayment $27.49
  • Minimum Established Patient Copayment $5.21
  • Maximum Established Patient Copayment $38.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Clinic/Center (Health Service)
501 E HARDY ST STE 425
INGLEWOOD, CA 90301
Psychiatry & Neurology (Psychiatry)
501 E HARDY ST STE 425
INGLEWOOD, CA 90301
Psychiatry & Neurology (Psychiatry)
501 E HARDY ST STE 425
INGLEWOOD, CA 90301
Psychiatry & Neurology (Psychiatry)
501 E HARDY ST STE 425
INGLEWOOD, CA 90301
Psychiatry & Neurology (Psychiatry)
501 E HARDY ST STE 425
INGLEWOOD, CA 90301
Psychiatry & Neurology (Psychiatry)
501 E HARDY ST STE 425
INGLEWOOD, CA 90301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053154211, enumerated as an "individual" on June 17, 2024.

The provider is located at 501 E HARDY ST STE 425 INGLEWOOD, CA 90301 and the phone number is (747) 998-0387.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.