MRS. YOUNGWOOK KIM (NP) – Nurse Practitioner, NPI 1881852432
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. YOUNGWOOK KIM (NP)
28106, Ridgeforest Court, Rancho Palos Verdes, Los Angeles County, California, 90275, United States
RANCHO PALOS VERDES, CA 902753241
Phone: (310) 710-8163
Type: Mailing
West Olympic Boulevard, Mid-Wilshire, Los Angeles, Los Angeles County, California, 90064, United States
#206
LOS ANGELES, CA 900066501
Phone: (213) 322-2666
Fax: (213) 322-2667
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $470.
Total Amount is formed as General ($470) + Research ($0) + Ownership ($0) = $470.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Lilly USA, LLC ($150).
Total Amount
$470
General + Research + Ownership
Payments
17
Total payment records
General Amount
$470
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $150 |
| Novo Nordisk Inc | $88 |
| Janssen Biotech, Inc. | $85 |
| SHIELD THERAPEUTICS INC | $69 |
| SCILEX PHARMACEUTICALS INC. | $37 |
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: 2014-09-22
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 |
|---|---|---|---|---|
| I20140922000466 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 90275)
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