GWYNETH KIM FNP
NPI 1154997682
Nurse Practitioner - Family in Tustin, CA

Active since June 03, 2021
14642 NEWPORT AVE STE 105, TUSTIN, CA 92780(949) 520-4175 Get Directions Write a Review

NPPES record last updated: August 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gwyneth Kim Fnp NPPES

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

GWYNETH KIM FNP (NPI 1154997682) is an individual family provider in Tustin, California, licensed in California (NP95016380) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1154997682
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGWYNETH KIMCredential: FNP
Location Address14642 NEWPORT AVE STE 105Tustin, CA 92780-6058
Mailing Address15638 Starbuck StWhittier, CA 90603-2320 · (213) 505-3186
Sole ProprietorNo
Enumeration DateJune 3, 2021
Last NPPES UpdateAugust 1, 2021
NPPES CertifiedAugust 1, 2021
NPI 1154997682 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 · NP95016380
14642 NEWPORT AVE STE 105, Tustin, CA 92780

Other Providers at the Same Location NPPES 13

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

Acupuncturist
14642 NEWPORT AVE STE 105
TUSTIN, CA 92780
Family Medicine (Geriatric Medicine)
14642 NEWPORT AVE STE 105
TUSTIN, CA 92780
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
14642 NEWPORT AVE STE 105
TUSTIN, CA 92780
Clinic/Center (Rehabilitation)
14642 NEWPORT AVE STE 105
TUSTIN, CA 92780
Family Medicine (Adult Medicine)
14642 NEWPORT AVE STE 105
TUSTIN, CA 92780
Orthopaedic Surgery (Sports Medicine)
14642 NEWPORT AVE STE 105
TUSTIN, CA 92780
Acupuncturist
14642 NEWPORT AVE STE 105
TUSTIN, CA 92780
Orthopaedic Surgery
14642 NEWPORT AVE STE 105
TUSTIN, CA 92780

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 Gwyneth Kim's NPI number?

The NPI number for Gwyneth Kim is 1154997682. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Gwyneth Kim located?

Gwyneth Kim practices at 14642 Newport Ave Ste 105, Tustin, CA 92780. The listed phone number is (949) 520-4175.

What is Gwyneth Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Gwyneth Kim was last updated on August 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.