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

Sandra Yu Kim, FNP, RN, PHN

Individual provider Family Nurse Practitioner · NPI 1306355698

Sandra Yu Kim, FNP, RN, PHN is a Nurse Practitioner in Los Alamitos, California. Qualified in 2021, 5 years ago. Practices with Prohealth Partners, a Medical Group, a 234-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2017
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3801 Katella Ave Ste 330
Los Alamitos, CA 90720-6900
Phone: (562) 594-9546
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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 95018326 (CA)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence 95107459 (CA)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 95107459 (CA)

Record details

NPI number1306355698
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP , RN , PHN
Sole proprietorNo
NPI enumeratedSeptember 29, 2017
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Prohealth Partners, A Medical Group — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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