JOOYEON KIM
NPI 1013397546
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since May 29, 2015PECOS EnrolledAccepts Medicare Assignment
1200 N STATE ST, LOS ANGELES, CA 90089(323) 341-3128 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2021, Jun 23, 2020, Sep 13, 2016 (3 updates tracked since 2016).

About Jooyeon Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOOYEON KIM (NPI 1013397546) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2015).

NPPES Registry Identity

NPI1013397546
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJOOYEON KIM
Location Address1200 N STATE STLos Angeles, CA 90089-1001
Mailing Address10800 Magnolia AveRiverside, CA 92505-3043 · (951) 353-2000
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2015
Enumeration DateMay 29, 2015
Last NPPES UpdateNovember 29, 20213 updates tracked since enumeration
NPPES CertifiedJune 23, 2020
NPI 1013397546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE ST, Los Angeles, CA 90089

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jooyeon Kim is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678853843
PECOS Enrollment IDI20200626001634
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
1200 N STATE ST, SUITE 3300
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CT-A7D
LOS ANGELES, CA 90089
Obstetrics & Gynecology
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jooyeon Kim's NPI number?

The NPI number for Jooyeon Kim is 1013397546. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Where is Jooyeon Kim located?

Jooyeon Kim practices at 1200 N State St, Los Angeles, CA 90089. The listed phone number is (323) 341-3128.

What is Jooyeon Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jooyeon Kim enrolled in Medicare?

Yes. Jooyeon Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jooyeon Kim was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.