Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chang Sook Kim, FNP

Individual provider Family Nurse Practitioner · NPI 1992560304

Chang Sook Kim, FNP is a Nurse Practitioner in Delano, California. Qualified in 2024, 2 years ago. Practices with Omni Family Health, a 93-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

912 Fremont St
Delano, CA 93215-2713
Phone: (866) 707-6664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95031133 (CA)
Nephrology Registered Nurse Taxonomy 163WN0300X · Licence 95177417 (CA)

Record details

NPI number1992560304
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 15, 2024
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Omni Family Health — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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