FLORENCE KIM
NPI 1396122156
Nurse Practitioner - Family in Fullerton, CA

Active since April 30, 2015PECOS Enrolled
1893 W MALVERN AVE, FULLERTON, CA 92833(714) 992-2454 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2021, Aug 21, 2019 (2 updates tracked since 2019).

About Florence Kim NPPES

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

FLORENCE KIM (NPI 1396122156) is an individual family provider in Fullerton, California, licensed in California (95002099) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Anaheim.

NPPES Registry Identity

NPI1396122156
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameFLORENCE KIM
Location Address1893 W MALVERN AVEFullerton, CA 92833-2403
Mailing Address1893 W Malvern AveFullerton, CA 92833-2403 · (714) 992-2454
Sole ProprietorNo
Enumeration DateApril 30, 2015
Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration
NPI 1396122156 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 · 95002099
1893 W MALVERN AVE, Fullerton, CA 92833

Secondary Practice Location 1

Location 1710 N Euclid St Ste 400Anaheim, CA 92801-4132 · Phone (714) 517-2000 · Fax (714) 490-1975

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Florence Kim 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 92833 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 9

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

Optometrist
1893 W MALVERN AVE
FULLERTON, CA 92833
Optometrist
1893 W MALVERN AVE
FULLERTON, CA 92833
Health Maintenance Organization
1893 W MALVERN AVE
FULLERTON, CA 92833
Pharmacist
1893 W MALVERN AVE
FULLERTON, CA 92833
Optometrist
1893 W MALVERN AVE
FULLERTON, CA 92833
Pharmacy
1893 W MALVERN AVE
FULLERTON, CA 92833
Pharmacist
1893 W MALVERN AVE, TARGET PHARMACY STORE NUMBER T-1383
FULLERTON, CA 92833
Pharmacist
1893 W MALVERN AVE, T-1383
FULLERTON, CA 92833

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 Florence Kim's NPI number?

The NPI number for Florence Kim is 1396122156. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Where is Florence Kim located?

Florence Kim practices at 1893 W Malvern Ave, Fullerton, CA 92833. The listed phone number is (714) 992-2454.

What is Florence Kim's specialty?

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

Is Florence Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Florence Kim was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.