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YURI KIM FNP
NPI 1942939293
Nurse Practitioner in Garden Grove, CA

Active since June 09, 2022PECOS Enrolled
12865 MAIN ST STE 105, GARDEN GROVE, CA 92840(657) 272-7877 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Yuri Kim Fnp NPPES

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

YURI KIM FNP (NPI 1942939293) is an individual nurse practitioner in Garden Grove, California, licensed in California (95014894) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Anaheim.

NPPES Registry Identity

NPI1942939293
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameYURI KIMCredential: FNP
Location Address12865 MAIN ST STE 105Garden Grove, CA 92840-8205
Mailing Address12865 Main St Ste 105Garden Grove, CA 92840-8205 · (657) 272-7877
Phone(657) 272-7877
Sole ProprietorYes
Enumeration DateJune 9, 2022
NPPES CertifiedJune 9, 2022
✔ NPI 1942939293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95014894
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
12865 MAIN ST STE 105, Garden Grove, CA 92840
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Secondary Practice Location 1

Location 11125 N Magnolia AveAnaheim, CA 92801-2638 · Phone (714) 798-9044

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yuri 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 Yuri Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

House Call Medical Associates, Inc.
Same address
Geriatric Medicine
12865 MAIN ST STE 105
Garden Grove, CA 92840
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1548688732 (800) 560-9999

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 92840 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 8

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

HIBA SHAKEEL
Nurse Practitioner (Family)
12865 MAIN ST STE 105
GARDEN GROVE, CA 92840
Orange County (949) 419-7278
LILY TRAM NGUYEN DNP, APRN, FNP-C
Nurse Practitioner (Family)
12865 MAIN ST STE 105
GARDEN GROVE, CA 92840
Orange County (800) 768-1977
TED MEDICAL GROUP, INC.
Internal Medicine
12865 MAIN ST STE 105
GARDEN GROVE, CA 92840
Orange County (800) 560-9999
GIA NGUYEN
Physician Assistant
12865 MAIN ST STE 105
GARDEN GROVE, CA 92840
Orange County (800) 560-9999
HOUSE CALL MEDICAL ASSOCIATES, INC.
Internal Medicine (Geriatric Medicine)
12865 MAIN ST STE 105
GARDEN GROVE, CA 92840
Orange County (800) 560-9999
DR. TAN THE NGUYEN M.D.
Internal Medicine
12865 MAIN ST STE 105
GARDEN GROVE, CA 92840
Orange County (800) 768-1977
KIMOANH THI NGUYEN
Nurse Practitioner
12865 MAIN ST STE 105
GARDEN GROVE, CA 92840
Orange County (800) 768-1977
DAT Q NGUYEN, MD, INC
Internal Medicine
12865 MAIN ST STE 105
GARDEN GROVE, CA 92840
Orange County (800) 560-9999

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 Yuri Kim's NPI number?

The NPI number for Yuri Kim is 1942939293. It was assigned to this individual provider in the NPPES registry on June 9, 2022.

Where is Yuri Kim located?

Yuri Kim practices at 12865 Main St Ste 105, Garden Grove, CA 92840. The listed phone number is (657) 272-7877.

What is Yuri Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Yuri Kim enrolled in Medicare?

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

Which organization bills Medicare for Yuri Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yuri Kim reassigns Medicare benefits to House Call Medical Associates, Inc. (Garden Grove, 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 Yuri 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 Yuri Kim was last updated on June 9, 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.