JEY PROMED CORPORATION
NPI 1114798170
Clinic/Center - Urgent Care in Buena Park, CA
About Jey Promed Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEY PROMED CORPORATION (NPI 1114798170) is a healthcare organization registered as an urgent care in Buena Park, California and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Yvette Kim, Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jey Promed Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Jey Promed Corporation, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2302965
Jey Promed Corporation · Buena Park, CAFrequently 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 Jey Promed Corporation's NPI number?
The NPI number for Jey Promed Corporation is 1114798170. It was assigned to this organization in the NPPES registry on January 9, 2024.
Where is Jey Promed Corporation located?
Jey Promed Corporation is located at 5450 Beach Blvd Ste 100, Buena Park, CA 90621. The listed phone number is (714) 752-6273.
What is Jey Promed Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Jey Promed Corporation enrolled in Medicare?
Yes. Jey Promed Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jey Promed Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Jey Promed Corporation, in Emergency Medicine and Family Practice. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jey Promed Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2302965) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jey Promed Corporation was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Jey Promed Corporation · NPI 1114798170
Urgent Care organization in Buena Park, California. Organization record, active in the CMS NPPES registry since January 9, 2024.
## Identity
- **NPI:** 1114798170 (Entity type: Organization)
- **Enumerated:** January 9, 2024
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Yvette Kim, NP
## Practice location
- **Address:** 5450 BEACH BLVD STE 100, Buena Park, CA 90621-1277
- **Phone:** (714) 752-6273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (2), Family Practice (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114798170) · Data from the CMS NPPES public registry.