Wayne Kim, D.O.
Wayne Kim, D.O. is a provider specialising in Federally Qualified Health Center (FQHC) in Stanton, CA, registered under NPI 1619987054. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 12362 BEACH BLVD STE 10, Stanton, CA 90680. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| OP00001562 | WA | Family Medicine Physician |
| OP00001562 | WA | Addiction Medicine (Family Medicine)… |
This provider holds licence OP00001562 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Family Practice
- PAC ID
- 1557335387
- Enrollment ID
- I20220928002700
Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Federally Qualified Health Center (FQHC) covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QF0400X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QF0400X | Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | — | — | primary |
| 207Q00000X | Family Medicine Physician | OP00001562 | WA | |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician Addiction Medicine | OP00001562 | WA | |
| 261QC1500X | Community Health Clinic/Center Community Health | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1619987054 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 8, 2006 |
| Last updated | Sep 14, 2022 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | D.O. |
| Practice address |
12362 BEACH BLVD STE 10 Stanton, CA 90680 (714) 248-9500 Fax (714) 622-4943 |
| Other identifiers |
PENDING
· Medicaid (CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 1 | 9 | 9 | 8 | 7 | 0 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 2 | 9 | 9 | 8 | 5 | 0 | 1 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.