JEY PROMED CORPORATION
NPI 1114798170
Clinic/Center - Urgent Care in Buena Park, CA

Active since January 09, 2024CLIA 05D2302965 · Waiver
5450 BEACH BLVD STE 100, BUENA PARK, CA 90621(714) 752-6273 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1114798170
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameJEY PROMED CORPORATION
Location Address5450 BEACH BLVD STE 100Buena Park, CA 90621-1277
Mailing Address5450 Beach Blvd Ste 100Buena Park, CA 90621-1277 · (714) 752-6273
Organization SubpartNo
Authorized OfficialYvette KimNp · (213) 254-7103
Enumeration DateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
NPI 1114798170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
5450 BEACH BLVD STE 100, Buena Park, CA 90621

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, CA
Active · expires Apr 17, 2028
CLIA Number05D2302965
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorBernard T. Mcnamera
Laboratory Phone(714) 752-6273
Laboratory LocationJey Promed Corporation5450 Beach Blvd Suite 100, Buena Park, CA 90621
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
5450 BEACH BLVD STE 100
BUENA PARK, CA 90621
Clinic/Center (Primary Care)
5450 BEACH BLVD STE 100
BUENA PARK, CA 90621
Clinic/Center (Urgent Care)
5450 BEACH BLVD STE 100
BUENA PARK, CA 90621
Physical Medicine & Rehabilitation (Neuromuscular Medicine)
5450 BEACH BLVD STE 100
BUENA PARK, CA 90621

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 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.

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.