1. Home
  2. Directory
  3. California
  4. Orange
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JENNIFER KIM
NPI 1043011984
Student in an Organized Health Care Education/Training Program in Orange, CA

Active since March 24, 2025PECOS Enrolled
333 CITY BLVD W STE 400, ORANGE, CA 92868(714) 456-6693 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Kim NPPES

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

JENNIFER KIM (NPI 1043011984) is an individual student in an organized health care education/training program in Orange, California and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1043011984
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER KIM
Location Address333 CITY BLVD W STE 400Orange, CA 92868-2994
Mailing Address101 The City Dr S Ste 400Orange, CA 92868-3201 · (714) 456-5691
Phone(714) 456-6693
Sole ProprietorNo
Enumeration DateMarch 24, 2025
Last NPPES UpdateMarch 26, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1043011984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
333 CITY BLVD W STE 400, Orange, CA 92868
Open in Google Maps ↗

Secondary Practice Location 1

Location 1101 The City Dr S Ste 400Orange, CA 92868-3201 · Phone (714) 456-5691

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 15

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

CY KIM M.D.
Internal Medicine (Cardiovascular Disease)
333 CITY BLVD W STE 400
ORANGE, CA 92868
Orange County (714) 456-6699
PIOTR SZCZEPAN SOWA M.D.
Internal Medicine (Gastroenterology)
333 CITY BLVD W STE 400
ORANGE, CA 92868
Orange County (714) 456-6745
DR. ELSA CASSANDRA CAMARILLO D.O.
Internal Medicine (Pulmonary Disease)
333 CITY BLVD W STE 400
ORANGE, CA 92868
Orange County (714) 456-6870
DR. RAJSREE D NAMBUDRIPAD MD
Internal Medicine
333 CITY BLVD W STE 400
ORANGE, CA 92868
Orange County (714) 456-6745
DR. CHAKRADHAR REDDY MURARI MD
Student in an Organized Health Care Education/Training Program
333 CITY BLVD W STE 400
ORANGE, CA 92868
Orange County (714) 450-3875
TALAL AL-ASSIL
Internal Medicine
333 CITY BLVD W STE 400
ORANGE, CA 92868
Orange County (714) 456-7890
CARMEN SAY
Student in an Organized Health Care Education/Training Program
333 CITY BLVD W STE 400
ORANGE, CA 92868
Orange County (714) 456-7772
SHANNON FAMENINI
Student in an Organized Health Care Education/Training Program
333 CITY BLVD W STE 400
ORANGE, CA 92868
Orange County (310) 270-8473

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 Jennifer Kim's NPI number?

The NPI number for Jennifer Kim is 1043011984. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Jennifer Kim located?

Jennifer Kim practices at 333 City Blvd W Ste 400, Orange, CA 92868. The listed phone number is (714) 456-6693.

What is Jennifer 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 Jennifer Kim enrolled in Medicare?

Yes. Jennifer Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Kim was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.