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

Dae Yeon Kim, FNP-C

Individual provider Family Nurse Practitioner · NPI 1437945912

Dae Yeon Kim, FNP-C is a Nurse Practitioner in San Bernardino, California. Qualified in 2024, 2 years ago. Practices with Optima Health Corp, a 31-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1998 N Arrowhead Ave
San Bernardino, CA 92405-4116
Phone: (909) 882-0988
Fax: (909) 660-8515
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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 95032711 (CA)

Record details

NPI number1437945912
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 19, 2025
Last updated in NPPESApril 19, 2025
Certification dateApril 11, 2025

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 Optima Health Corp — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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