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STACY KIM
NPI 1669215802
Nurse Practitioner - Family in Pomona, CA

Active since June 17, 2024
1798 N GAREY AVE, POMONA, CA 91767(626) 483-7866 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy Kim NPPES

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

STACY KIM (NPI 1669215802) is an individual family provider in Pomona, California, licensed in California (F05230927) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1669215802
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY KIM
Location Address1798 N GAREY AVEPomona, CA 91767-2918
Mailing Address1798 N Garey AvePomona, CA 91767-2918 · (626) 483-7866
Phone(626) 483-7866
Sole ProprietorYes
Enumeration DateJune 17, 2024
NPPES CertifiedJune 16, 2024
✔ NPI 1669215802 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 · F05230927
1798 N GAREY AVE, Pomona, CA 91767
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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.

MARIA CONSUELO CASTELAN RD
Dietitian, Registered
1798 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 528-5046
HSIENHWA CHOU RD
Dietitian, Registered
1798 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 860-7799
MR. CYRUS QUEROL P.A.
Physician Assistant
1798 N GAREY AVE
POMONA, CA 91767
Los Angeles County (510) 350-2698
VESTA NICOLE GUIV PHARMD
Pharmacist
1798 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 865-9500
JENJIRA SORRECA DO RD
Dietitian, Registered
1798 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 865-9501
VICTORIA SUSAN CHIDBOY RN
Registered Nurse (Critical Care Medicine)
1798 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 865-9500
MARTI JO KUNISHIMA PT
Physical Therapist
1798 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 865-9810
RACHEL ANN CHATER LEA
Physician Assistant
1798 N GAREY AVE
POMONA, CA 91767
Los Angeles County (949) 973-3290

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 Stacy Kim's NPI number?

The NPI number for Stacy Kim is 1669215802. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Stacy Kim located?

Stacy Kim practices at 1798 N Garey Ave, Pomona, CA 91767. The listed phone number is (626) 483-7866.

What is Stacy Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for Stacy Kim was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.