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Tae Yoon Won , NURSE PRACTITIONER

Nurse Practitioner β€’ Stanton, CA

Active NPI 1356035653 Individual Practitioner Male Practitioner
Practice location in NPPES

12362 Beach Blvd Ste 10
Stanton, CA 906803944

Call 7142489500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12362 Beach Blvd Ste 10

Stanton, CA 906803944

Telephone 7142489500
Organization at the Same NPPES Address or Phone
Livingstone Community Development Corporation Facility NPI 1952662686

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $24.18 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tae Won has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Tae Won as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Stanton and California

4 active clinicians are listed under Nurse Practitioner with a practice address in Stanton, CA (8,237 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $24.18.

Manufacturer Payment Nature Product Type Amount ($)
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $24.18

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-18
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES CA 95022157

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20230724004056

Enrollment State Jurisdiction

CA

PECOS Control ID

5799145678

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Anna Jang , FNP

Nurse Practitioner - Family

NPI 1184340333

Family Nurse Practitioner

Heejin Kim , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1184242976

NURSEPRACTITIONER

Dr. Wayne Kim , DO

Family Medicine

NPI 1619987054

Doctor of Osteopathic Medicine (D.O.)

Yvett Yoon Kim , FNP

Nurse Practitioner - Family

NPI 1558090498

Family Nurse Practitioner

NPI 1427432756

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 18, 2023

Registered at 12362 BEACH BLVD STE 10, STANTON, CA 906803944 (Tel: 7142489500)

πŸ“
Updated Business Mailing Address October 18, 2023

Registered at 12362 BEACH BLVD STE 10, STANTON, CA 906803944 (Tel: 7142489500)

βœ…
NPI Profile Active June 08, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 08, 2023

Registered at 393 S SALAMANCA CT, LA HABRA, CA 906319294 (Tel: 7149042766)

πŸ“
Business Mailing Address (Initial Record) June 08, 2023

Registered at 393 S SALAMANCA CT, LA HABRA, CA 906319294 (Tel: 7149042766)

πŸ‘€
Provider Name / Credentials (Initial Record) June 08, 2023

Recorded as TAE WON, NURSE PRACTITIONER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2023

Nurse Practitioner (license number reported to NPPES: CA 95022157)

🟒
Initial NPI Registration & Enumeration June 08, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1356035653
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2023
Last Update: October 18, 2023
Sole Proprietor: No

Mailing Address

12362 Beach Blvd Ste 10

Stanton, CA 906803944

Phone: 7142489500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.