YEONGBU KIM
NPI 1932594637
Nurse Practitioner - Family in Los Angeles, CA

Q: What is Yeongbu Kim's NPI number?

The NPI number for Yeongbu Kim is 1932594637. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Q: What is Yeongbu Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Yeongbu Kim was last updated on March 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment

1039 W FLORENCE AVE, LOS ANGELES, CA 90044(323) 776-1500(323) 776-1499 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Yeongbu Kim NPPES

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

YEONGBU KIM (NPI 1932594637) is an individual family provider in Los Angeles, California, licensed in California (95002924) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1932594637

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameYEONGBU KIM

Location Address1039 W FLORENCE AVELos Angeles, CA 90044-2441

Mailing Address1039 W Florence AveLos Angeles, CA 90044-2441 · (323) 776-1500 · Fax (323) 776-1499

Phone(323) 776-1500

Fax(323) 776-1499

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 31, 2015

Last NPPES UpdateMarch 27, 2025

NPPES CertifiedMarch 19, 2025

✔ NPI 1932594637 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

Licenses✔ Licensed in CA · 95002924✔ Licensed in HI · F1214357

1039 W FLORENCE AVE, Los Angeles, CA 90044

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yeongbu Kim is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032472832

PECOS Enrollment IDI20180409001748

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 90044 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 14

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

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