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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Wayne W Kim, D.O.

Federally Qualified Health Center (FQHC) in Stanton, CA · enumerated 2006 · practices at Livingstone Community Development Corporation.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619987054

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Registry record

Entity type Individual (Type 1)
Name Wayne W Kim
Credential D.O.
Sex Male
Practice address Stanton, CA, 90680
Fax (714) 622-4943
Enumeration date Aug 8, 2006
Last updated in NPPES Sep 14, 2022

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License OP00001562 (WA) Secondary
207QA0401X Addiction Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License OP00001562 (WA) Secondary
261QC1500X Community Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
PENDING Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Wayne Kim?
The National Provider Identifier (NPI) for Wayne Kim is 1619987054, a Type 1 (individual) record in the CMS NPPES registry.
Where does Wayne Kim practice?
The practice location on file with NPPES is in Stanton, CA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-09-14.