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

Joanne Kim, NP

Individual provider Family Nurse Practitioner · NPI 1053037192

Joanne Kim, NP is a Nurse Practitioner in Riverside, California. Qualified in 2022, 4 years ago. Practices with Evergreen Spine and Pain Centers, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
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

3657 Van Buren Blvd
Riverside, CA 92503-4249
Phone: (909) 238-7966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10200 Sepulveda Blvd Ste 140, Mission Hills, CA 91345-3323 — (909) 238-7966

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95022581 (CA)

Record details

NPI number1053037192
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 19, 2022
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Evergreen Spine And Pain Centers — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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