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

Ji Yeon Kwon, NP

Individual provider Registered Nurse · NPI 1912492216

Ji Yeon Kwon, NP is a Nurse Practitioner in Madera, California. Qualified in 2018, 8 years ago. Practices with Stanford Health Care, a 3,085-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

9300 Valley Childrens Pl # GE07
Madera, CA 93636
Phone: (559) 353-6277
Fax: (559) 353-7195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95009482 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 821931 (CA)

Record details

NPI number1912492216
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 28, 2018
Last updated in NPPESJuly 30, 2018
Mailing address9300 Valley Childrens Pl # Ge07, Madera, CA 93636-8762

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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