EUNICE KIM (APN) – Nurse Practitioner, NPI 1043684863
Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
16,353 NURSE PRACTITIONER in CA
Provider Addresses for EUNICE KIM (APN)
6665 MISSION GORGE RD UNIT C8
SAN DIEGO, CA 921202314
Phone:
Type: Mailing
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 921610002
Phone: (858) 552-8585
Type: Location
5215 Torrance Blvd
Torrance, CA 905034009
Phone: (310) 750-1715
Fax: (310) 939-0934
Type: Location
PO BOX 512185
LOS ANGELES, CA 900510185
Phone:
Type: Mailing
23456 HAWTHORNE BLVD STE 260
TORRANCE, CA 905054716
Phone: (424) 212-6200
Fax: (424) 212-6250
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $298.
Total Amount is formed as General ($298) + Research ($0) + Ownership ($0) = $298.
Last reported payment date: 2024-10-14 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($150).
Total Amount
$298
General + Research + Ownership
Payments
6
Total payment records
General Amount
$298
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| JAZZ PHARMACEUTICALS INC. | $150 |
| Edwards Lifesciences Corporation | $54 |
| ABIOMED | $39 |
| Boston Scientific Corporation | $28 |
| ABBVIE INC. | $27 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-10-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201006001208 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 92120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Nurse Practitioner | CA | |
| Cardiovascular Disease (Cardiology) | CA | |
| Hematology/Oncology, Internal Medicine | CA | |
| - | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Endocrinology, Internal Medicine | CA | |
| General Surgery | CA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| - | CA |
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