YOOJEONG KIM DIAMANT NP
NPI 1306475033
Nurse Practitioner - Family in Travis Afb, CA
About Yoojeong Kim Diamant Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YOOJEONG KIM DIAMANT NP (NPI 1306475033) is an individual family provider in Travis Afb, California, licensed in California (NP95011826) and active in the NPI registry since April 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)
Yoojeong Kim Diamant Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Yoojeong Diamant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfield, CA 94533
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Northbay Physicians Surgery Center, LLC
- 516 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 94535 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRAVIS AFB, CA 94535
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 Yoojeong Diamant's NPI number?
The NPI number for Yoojeong Diamant is 1306475033. It was assigned to this individual provider in the NPPES registry on April 4, 2020.
Where is Yoojeong Diamant located?
Yoojeong Diamant practices at 60 Mdg/Sgxf 101 Bodin Circle, Travis Afb, CA 94535. The listed phone number is (707) 423-5819.
What is Yoojeong Diamant's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Yoojeong Diamant enrolled in Medicare?
Yes. Yoojeong Diamant is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Yoojeong Diamant's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yoojeong Diamant reassigns Medicare benefits to Northbay Healthcare Group (Fairfield, CA). The 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 Yoojeong Diamant'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 Yoojeong Diamant was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Yoojeong Kim Diamant, NP · NPI 1306475033
Family physician in Travis Afb, California. Individual provider, active in the CMS NPPES registry since April 4, 2020.
## Identity
- **NPI:** 1306475033 (Entity type: Individual)
- **Enumerated:** April 4, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95011826 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 60 MDG/SGXF, 101 BODIN CIRCLE, Travis Afb, CA 94535-1809
- **Phone:** (707) 423-5819
## 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:** Northbay Healthcare Group (NPI 1821147786, Fairfield, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1306475033) · Data from the CMS NPPES public registry.