KIM YOUNGRAE MEDICAL, INC
NPI 1275242083
Internal Medicine - Rheumatology in Buena Park, CA

NPI Status: Active since November 21, 2022

Contact Information

5730 BEACH BLVD
#200
BUENA PARK, CA
ZIP 90621
Phone: (714) 588-4024

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  • Organization
  • Internal Medicine
  • Rheumatology
  • CLIA Number: 05D2285863
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-18-2027

About KIM YOUNGRAE MEDICAL, INC

This page provides the complete NPI Profile along with additional information for Kim Youngrae Medical, Inc, an internist established in Buena Park, California operating as a Internal Medicine, focusing in rheumatology . The healthcare provider is registered in the NPI registry with number 1275242083 assigned on November 2022. The practitioner's primary taxonomy code is 207RR0500X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Kim Youngrae Medical, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Nicholas Youngrae Kim M.d. (President)

NPI
1275242083
Provider Name
KIM YOUNGRAE MEDICAL, INC
Entity Type
Organization
Location Address
5730 BEACH BLVD #200 BUENA PARK, CA 90621
Location Phone
(714) 588-4024
Mailing Address
5730 BEACH BLVD #200 BUENA PARK, CA 90621
Mailing Phone
(714) 588-4024
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2022
Last Update Date
11-17-2023
Code Navigator

An internist like Kim Youngrae Medical, Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Rheumatology

Taxonomy Code
207RR0500X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICHOLAS YOUNGRAE KIM M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(714) 588-4037

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2285863
Facility Type
Physician Office
Certificate Effective Date
July 19, 2025
Certificate Expiration Date
July 18, 2027
Laboratory Director
NICHOLAS Y. KIM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kim Youngrae Medical, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1275242083, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 2 → 4 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 4 + 5 + 4 + 4 + 4 + 0 + 1 + 6 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1275242083.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Acupuncturist
5730 BEACH BLVD, #102
BUENA PARK, CA 90621

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275242083, enumerated as an "organization" on November 21, 2022.

The provider is located at 5730 BEACH BLVD #200 BUENA PARK, CA 90621 and the phone number is (714) 588-4024.

Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.