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

Individual provider Adult Health Nurse Practitioner · NPI 1750714408

Mihae Kim, NURSEPRACTITIONER is a Nurse Practitioner in Santa Monica, California. Graduated from University of California, Geffen School of Medicine in 2013, 13 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
13
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2013
Specialties on file
4
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Practice location Address checks out

1301 20th St Ste 150
Santa Monica, CA 90404-2050
Phone: (310) 582-7641
Fax: (310) 315-4069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1245 16th St, Santa Monica, CA 90404-1235 — (310) 319-3222

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 23498 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 23498 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 23498 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 23498 (CA)

Record details

NPI number1750714408
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 16, 2013
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Santa Monica