PRIMARY CARE AND IV
NPI 1073360467
Nurse Practitioner - Primary Care in La Palma, CA
About Primary Care And Iv NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE AND IV (NPI 1073360467) is a healthcare organization registered as a primary care in La Palma, California and active in the NPI registry since May 2024. The organization lists Namju Kim Shin, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Primary Care And Iv is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Primary Care And IV, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Humbled One Nursing Group Corp's NPI number?
The NPI number for Humbled One Nursing Group Corp is 1073360467. It was assigned to this organization in the NPPES registry on May 2, 2024. The provider is doing business as Primary Care And IV.
Where is Humbled One Nursing Group Corp located?
Humbled One Nursing Group Corp is located at 5471 La Palma Ave Ste 105, La Palma, CA 90623. The listed phone number is (714) 695-2388.
What is Humbled One Nursing Group Corp's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Humbled One Nursing Group Corp enrolled in Medicare?
Yes. Humbled One Nursing Group Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Humbled One Nursing Group Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Humbled One Nursing Group Corp, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Humbled One Nursing Group Corp was last updated on December 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Primary Care And Iv · NPI 1073360467
Primary Care organization in La Palma, California. Organization record, active in the CMS NPPES registry since May 2, 2024.
## Identity
- **NPI:** 1073360467 (Entity type: Organization)
- **Enumerated:** May 2, 2024
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Legal business name:** Humbled One Nursing Group Corp
- **Organization subpart:** No
- **Authorized official:** Namju Kim Shin, CEO
## Practice location
- **Address:** 5471 LA PALMA AVE STE 105, La Palma, CA 90623-1773
- **Phone:** (714) 695-2388 · **Fax:** (714) 695-2391
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073360467) · Data from the CMS NPPES public registry.