MS. HEEJIN EMILY KIM NURSE PRACTITIONER
NPI 1184242976
Nurse Practitioner - Family in Stanton, CA

Q: What is Heejin Kim's NPI number?

The NPI number for Heejin Kim is 1184242976. It was assigned to this individual provider in the NPPES registry on July 8, 2020.

Q: What is Heejin Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heejin Kim was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since July 08, 2020PECOS Enrolled

12362 BEACH BLVD STE 10, STANTON, CA 90680(714) 248-9500 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2022, Jul 8, 2020 (2 updates tracked since 2020).

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About Ms. Heejin Emily Kim Nurse Practitioner NPPES

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

MS. HEEJIN EMILY KIM NURSE PRACTITIONER (NPI 1184242976) is an individual family provider in Stanton, California, licensed in California (NP95009125) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184242976

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. HEEJIN EMILY KIMCredential: NURSE PRACTITIONER

Location Address12362 BEACH BLVD STE 10Stanton, CA 90680-3944

Mailing Address808 W 58th StLos Angeles, CA 90037-3632 · (323) 541-1600

Phone(714) 248-9500

Sole ProprietorNo

Enumeration DateJuly 8, 2020

Last NPPES UpdateOctober 25, 20242 updates tracked since enumeration

NPPES CertifiedMay 22, 2024

✔ NPI 1184242976 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 · NP95009125

12362 BEACH BLVD STE 10, Stanton, CA 90680

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Heejin Emily Kim Nurse Practitioner 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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 90680 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

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