Wayne Kim, D.O.
NPI 1619987054 · Federally Qualified Health Center (FQHC) · Stanton, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wayne Kim, D.O. is a Federally Qualified Health Center (FQHC) provider in Stanton, CA (NPI 1619987054).
Provider details
- NPI number
- 1619987054
- Entity type
- Individual
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- OP00001562 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 144 169th St S Ste aSpanaway, WA 98387-8242Phone: (253) 536-2824Fax: (253) 536-3070
Registry dates
- Enumerated
- 2006-08-08
- Last updated
- 2022-09-14
- Certified
- 2022-09-14
Frequently asked questions
- What is Wayne Kim's NPI number?
- Wayne Kim's National Provider Identifier (NPI) is 1619987054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wayne Kim's specialty?
- Wayne Kim is listed in the NPPES registry with a primary specialty of Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Wayne Kim located?
- Wayne Kim's practice location on file with NPPES is 12362 Beach Blvd Ste 10, Stanton, CA 90680-3944.
- What is Wayne Kim's phone number?
- The practice phone number listed in the NPPES registry for Wayne Kim is (714) 248-9500.
- Does Wayne Kim accept Medicare?
- Wayne Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Wayne Kim's NPI active?
- Yes — Wayne Kim's NPI (1619987054) is active in the NPPES registry as of the last update on 2022-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.