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JI YUN NAM
NPI 1982159349
Psychologist - Clinical in Fountain Valley, CA

Active since August 16, 2016PECOS Enrolled
10061 TALBERT AVE STE 200, FOUNTAIN VALLEY, CA 92708(310) 845-6151 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2025, Nov 29, 2021, May 6, 2021 and 5 more (8 updates tracked since 2016).

About Ji Yun Nam NPPES

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

JI YUN NAM (NPI 1982159349) is an individual clinical provider in Fountain Valley, California, licensed in California (31479) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982159349
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJI YUN NAM
Location Address10061 TALBERT AVE STE 200Fountain Valley, CA 92708-5123
Mailing Address21143 Hawthorne Blvd # 241Torrance, CA 90503-4615 · (310) 845-6151
Phone(310) 845-6151
Sole ProprietorYes
Enumeration DateAugust 16, 2016
Last NPPES UpdateDecember 30, 20258 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1982159349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 31479
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
10061 TALBERT AVE STE 200, Fountain Valley, CA 92708
Open in Google Maps ↗

Other Names 1

Other Name (5)Jiyun Nam

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ji Yun Nam 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 92708 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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 3

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

DR. DEBORAH LYNN WIELAND PSYD, LMFT
Marriage & Family Therapist
10061 TALBERT AVE STE 200
FOUNTAIN VALLEY, CA 92708
Orange County (714) 408-3702
MS. PAMELA MONDONNA MONTAZER LMFT
Marriage & Family Therapist
10061 TALBERT AVE STE 200
FOUNTAIN VALLEY, CA 92708
Orange County (714) 965-3622
SARA SIERRA-VALINSKY LCSW
Social Worker (Clinical)
10061 TALBERT AVE STE 200
FOUNTAIN VALLEY, CA 92708
Orange County (714) 594-9477

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 Ji Yun Nam's NPI number?

The NPI number for Ji Yun Nam is 1982159349. It was assigned to this individual provider in the NPPES registry on August 16, 2016. The provider is also known as Jiyun Nam.

Where is Ji Yun Nam located?

Ji Yun Nam practices at 10061 Talbert Ave Ste 200, Fountain Valley, CA 92708. The listed phone number is (310) 845-6151.

What is Ji Yun Nam's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ji Yun Nam enrolled in Medicare?

Yes. Ji Yun Nam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ji Yun Nam was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.