JA YOUNG KIM NP
NPI 1033611280
Nurse Practitioner - Family in Santa Clara, CA
About Ja Young Kim Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JA YOUNG KIM NP (NPI 1033611280) is an individual family provider in Santa Clara, California, licensed in California (NP95008416) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ja Young Kim Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Ja Young Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95128
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1588721500 (California), NPI 1629301346 (California)
- 2,460 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95051 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SANTA CLARA, CA 95051
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 Ja Young Kim's NPI number?
The NPI number for Ja Young Kim is 1033611280. It was assigned to this individual provider in the NPPES registry on March 4, 2018.
Where is Ja Young Kim located?
Ja Young Kim practices at 2734 El Camino Real, Santa Clara, CA 95051. The listed phone number is (408) 241-3801.
What is Ja Young Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ja Young Kim enrolled in Medicare?
Yes. Ja Young 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.
Which organization bills Medicare for Ja Young Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ja Young Kim reassigns Medicare benefits to County Of Santa Clara (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ja Young Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ja Young Kim was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ja Young Kim, NP · NPI 1033611280
Family physician in Santa Clara, California. Individual provider, active in the CMS NPPES registry since March 4, 2018.
## Identity
- **NPI:** 1033611280 (Entity type: Individual)
- **Enumerated:** March 4, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95008416 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2734 EL CAMINO REAL, Santa Clara, CA 95051-3007
- **Phone:** (408) 241-3801
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** County Of Santa Clara (NPI 1154906634, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1033611280) · Data from the CMS NPPES public registry.