1. Home
  2. Directory
  3. California
  4. Cerritos
  5. Nurse Practitioner
  6. NPI Profile

GRACE KIM FNP-C
NPI 1205344967
Nurse Practitioner - Family in Cerritos, CA

Active since January 16, 2018PECOS Enrolled
12900 PARK PLAZA DR, CERRITOS, CA 90703(562) 622-2800 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Kim Fnp-c NPPES

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

GRACE KIM FNP-C (NPI 1205344967) is an individual family provider in Cerritos, California, licensed in California (95007722) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Fe Springs.

NPPES Registry Identity

NPI1205344967
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRACE KIMCredential: FNP-C
Location Address12900 PARK PLAZA DRCerritos, CA 90703-9329
Mailing Address10487 Elderberry LnSanta Fe Springs, CA 90670-6908 · (562) 266-8606
Phone(562) 622-2800
Sole ProprietorNo
Enumeration DateJanuary 16, 2018
Last NPPES UpdateApril 5, 2018
✔ NPI 1205344967 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 · 95007722
12900 PARK PLAZA DR, Cerritos, CA 90703
Open in Google Maps ↗

Secondary Practice Location 1

Location 110487 Elderberry LnSanta Fe Springs, CA 90670-6908 · Phone (562) 266-8606

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Kim Fnp-c 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 90703 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 20

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

DR. ARDAVAN MEHDIZADEH M.D.
Internal Medicine
12900 PARK PLAZA DR, SUITE 150
CERRITOS, CA 90703
Los Angeles County (562) 207-0139
DONALD S. FURMAN MD
Internal Medicine (Gastroenterology)
12900 PARK PLAZA DR, ATTENTION: MAGGIE NOLES
CERRITOS, CA 90703
Los Angeles County (562) 741-4461
CHARLES HALBERT
Marriage & Family Therapist
12900 PARK PLAZA DR
CERRITOS, CA 90703
Los Angeles County (562) 246-3510
IRIS BUAN DNP, NP-C
Nurse Practitioner (Family)
12900 PARK PLAZA DR
CERRITOS, CA 90703
Los Angeles County (310) 808-3410
SIERRA HARTSFIELD
Social Worker (Clinical)
12900 PARK PLAZA DR
CERRITOS, CA 90703
Los Angeles County (562) 467-5438
ALBION MEDICAL PARTNERS OF CALIFORNIA WEST P C
Internal Medicine
12900 PARK PLAZA DR, STE 700, MS-7110
CERRITOS, CA 90703
Los Angeles County (562) 622-2800
MARCIA PATRICIA HARLAN FNP-C
Nurse Practitioner (Family)
12900 PARK PLAZA DR, STE 150
CERRITOS, CA 90703
Los Angeles County (866) 646-3553
KRYSTAL ADAMS N.P
Nurse Practitioner
12900 PARK PLAZA DR
CERRITOS, CA 90703
Los Angeles County (562) 622-2803

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 Grace Kim's NPI number?

The NPI number for Grace Kim is 1205344967. It was assigned to this individual provider in the NPPES registry on January 16, 2018.

Where is Grace Kim located?

Grace Kim practices at 12900 Park Plaza Dr, Cerritos, CA 90703. The listed phone number is (562) 622-2800.

What is Grace Kim's specialty?

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

Is Grace Kim enrolled in Medicare?

Yes. Grace Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Kim was last updated on April 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.