YVETT YOON KIM FNP
NPI 1558090498
Nurse Practitioner - Family in Stanton, CA

Active since June 07, 2022PECOS Enrolled
12362 BEACH BLVD STE 10, STANTON, CA 90680(714) 248-9500(714) 622-4943 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2022, Jun 7, 2022 (2 updates tracked since 2022).

About Yvett Yoon Kim Fnp NPPES

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

YVETT YOON KIM FNP (NPI 1558090498) is an individual family provider in Stanton, California, licensed in California (F06220317) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558090498
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameYVETT YOON KIMCredential: FNP
Location Address12362 BEACH BLVD STE 10Stanton, CA 90680-3944
Mailing Address2121 W Imperial Hwy # 200La Habra, CA 90631-6300 · (213) 505-7662
Fax(714) 622-4943
Sole ProprietorYes
Enumeration DateJune 7, 2022
Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
✔ NPI 1558090498 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 · F06220317
12362 BEACH BLVD STE 10, Stanton, CA 90680

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yvett Yoon Kim Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Yvett Yoon Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health
15301 S SAN JOSE AVE
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.

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 12

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

Dentist
12362 BEACH BLVD STE 10
STANTON, CA 90680
Nurse Practitioner (Family)
12362 BEACH BLVD STE 10
STANTON, CA 90680
Nurse Practitioner (Family)
12362 BEACH BLVD STE 10
STANTON, CA 90680
Nurse Practitioner
12362 BEACH BLVD STE 10
STANTON, CA 90680
Psychologist
12362 BEACH BLVD STE 10
STANTON, CA 90680
Nurse Practitioner (Family)
12362 BEACH BLVD STE 10
STANTON, CA 90680
Clinic/Center (Federally Qualified Health Center (FQHC))
12362 BEACH BLVD STE 10
STANTON, CA 90680
Acupuncturist
12362 BEACH BLVD STE 10
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 Yvett Yoon Kim's NPI number?

The NPI number for Yvett Yoon Kim is 1558090498. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Yvett Yoon Kim located?

Yvett Yoon Kim practices at 12362 Beach Blvd Ste 10, Stanton, CA 90680. The listed phone number is (714) 248-9500.

What is Yvett Yoon Kim's specialty?

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

Is Yvett Yoon Kim enrolled in Medicare?

Yes. Yvett Yoon Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Yvett Yoon Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yvett Yoon Kim reassigns Medicare benefits to St. Johns Community Health (Compton, 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 Yvett Yoon 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 Yvett Yoon Kim was last updated on October 6, 2022. 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.