MS. HEEJIN EMILY KIM NURSE PRACTITIONER
NPI 1184242976
Nurse Practitioner - Family in Stanton, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
2Medicare enrollment records show Heejin Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fullerton, CA 92833
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Compton, CA 90221
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: St. John's Community Health
- 404 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
STANTON, CA 90680
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 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.
Where is Heejin Kim located?
Heejin Kim practices at 12362 Beach Blvd Ste 10, Stanton, CA 90680. The listed phone number is (714) 248-9500.
What is Heejin Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Heejin Kim enrolled in Medicare?
Yes. Heejin Kim is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Heejin Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heejin Kim reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Fullerton, CA) and St. Johns Community Health (Compton, CA). Each 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 Heejin Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Ms. Heejin Emily Kim, NURSE PRACTITIONER · NPI 1184242976
Family physician in Stanton, California. Individual provider, active in the CMS NPPES registry since July 8, 2020.
## Identity
- **NPI:** 1184242976 (Entity type: Individual)
- **Enumerated:** July 8, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95009125 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12362 BEACH BLVD STE 10, Stanton, CA 90680-3944
- **Phone:** (714) 248-9500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1336556059, Fullerton, CA); St. Johns Community Health (NPI 1801028303, Compton, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1184242976) · Data from the CMS NPPES public registry.