KAITLYN YIM (MD) – Dermatopathology Physician, NPI 1174075303

KAITLYN YIM (MD) is a healthcare provider. based in Culver city, California. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. A166454 (CA). The NPI Number for KAITLYN YIM (MD) is 1174075303

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
KAITLYN YIM (MD)
NPI
1174075303
Phone
(310) 945-3350
Address
9808 VENICE BLVD
Enumeration Date
4 November 2016
Last Update Date
29 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8084513178
Graduation Year
2018 (8 years ago)
PAC ID
1355721747
Professional Enrollment ID
I20250616001219
Address ID
HI968261077HO1319XSTXX301

Contacts

FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

2,140 DERMATOLOGY in CA

Provider Addresses for KAITLYN YIM (MD)

  • 9808 VENICE BLVD

    STE. 505

    CULVER CITY, CA 902322732

    Phone: (310) 945-3350

    Fax: (310) 945-3356

    Type: Mailing

  • 1319 PUNAHOU ST STE 1000

    HONOLULU, HI 968261077

    Phone: (808) 451-3178

    Type: Mailing

  • 888 S Figueroa St Ste 1050

    Los Angeles, CA 900175310

    Phone: (213) 319-3339

    Type: Location

  • PO BOX 415348

    BOSTON, MA 022415348

    Phone:

    Type: Mailing

  • 281 LINCOLN ST

    WORCESTER, MA 016052138

    Phone: (508) 334-5979

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 131 Open Payments records for all available years, with a total value of $3,874.

Total Amount is formed as General ($3,874) + Research ($0) + Ownership ($0) = $3,874.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,546).

Total Amount

$3,874

General + Research + Ownership

Payments

131

Total payment records

General Amount

$3,874

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230728002963IDermatologyCATBD
I20250616001219IDermatologyHITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90232)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What number should I use to identify KAITLYN YIM (MD) for billing?
Administrative and clinical systems typically use NPI 1174075303 for KAITLYN YIM (MD).
Is KAITLYN YIM (MD)'s NPI status active today?
Active status means KAITLYN YIM (MD)'s NPI record is not deactivated in the public file.
What type of care does KAITLYN YIM (MD) provide?
KAITLYN YIM (MD)'s profile centers on Dermatopathology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to KAITLYN YIM (MD)?
The directory associates KAITLYN YIM (MD) with Culver City, California. Check all listed addresses for suites or satellite offices.
Can I export KAITLYN YIM (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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