Hyunjib Kim, NURSE PRACTITIONER - Medicare Nurse Practitioner in Hermosa Beach, CA

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Hyunjib Kim, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hermosa Beach, California. His current practice location is 2615 Pacific Coast Hwy, Hermosa Beach, California. You can reach out to his office (for appointments etc.) via phone at (310) 598-6850.

Hyunjib Kim is licensed to practice in California (license number 95022903) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659097459.

Contact Information

Hyunjib Kim, NURSE PRACTITIONER
2615 Pacific Coast Hwy,
Hermosa Beach, CA 90254-2225
(310) 598-6850
(310) 424-4598

Map and Direction




Provider's Profile

Full NameHyunjib Kim
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2615 Pacific Coast Hwy, Hermosa Beach, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659097459
  • Provider Enumeration Date: 10/13/2022
  • Last Update Date: 08/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0042676025
  • Enrollment ID: I20230517001415

Medical Identifiers

Medical identifiers for Hyunjib Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659097459NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95022903 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Hyunjib Kim allows following entities to bill medicare on his behalf.
Entity NameEhab Yacoub Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417373713
PECOS PAC ID: 5092099523
Enrollment ID: O20170301002071
Entity NameThomas Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659972099
PECOS PAC ID: 1355748021
Enrollment ID: O20210922002229
Entity NameWellness Tms Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023862737
PECOS PAC ID: 4880122811
Enrollment ID: O20250103002579

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hyunjib Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hyunjib Kim, NURSE PRACTITIONER
703 Pier Ave Ste B,
Hermosa Beach, CA 90254-3943

Ph: (310) 598-6850		Hyunjib Kim, NURSE PRACTITIONER
2615 Pacific Coast Hwy,
Hermosa Beach, CA 90254-2225

Ph: (310) 598-6850

Reviews and Comments


Nurse Practitioner Nurses in Hermosa Beach, CA

Ms. Kimberly Dawn Keim, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 555 Pier Ave, Suite E, Hermosa Beach, CA 90254
Phone: 310-374-6600    Fax: 310-374-4448
Diana Helena Brogden,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2120 Hillcrest Dr, Hermosa Beach, CA 90254
Phone: 310-265-3482    
Karina Ray Ritter, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 555 Pier Ave, Hermosa Beach, CA 90254
Phone: 310-374-6600    
Miss Maria D Barbosa, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 651 Loma Dr Apt 2, Hermosa Beach, CA 90254
Phone: 909-472-5843    
Dyana Ko, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2615 Pacific Coast Hwy Ste 204, Hermosa Beach, CA 90254
Phone: 424-728-5564    Fax: 424-377-6548
Haleigh Foster,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 415 Pier Ave, Hermosa Beach, CA 90254
Phone: 310-379-6074    
Heidi M Carle, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 415 Pier Ave, Hermosa Beach, CA 90254
Phone: 310-379-6074    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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