JAMIE KIM - NPI 1053658005 - Physician Assistant in Granada Hills, CA

Q: What is Jamie Kim's NPI number?

The NPI number for Jamie Kim is 1053658005. It was assigned to this individual provider in the NPPES registry on January 10, 2013.

Q: What is Jamie Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jamie Kim was last updated on January 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jamie Kim NPPES

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

JAMIE KIM (NPI 1053658005) is an individual physician assistant in Granada Hills, California and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1053658005

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJAMIE KIM

Location Address10316 WOODLEY AVEGranada Hills, CA 91344-6916

Mailing Address9535 Reseda Blvd, Ste 304Northridge, CA 91324-6029 · (818) 886-3884

Phone(818) 368-5651

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateJanuary 10, 2013

Last NPPES UpdateJanuary 24, 20224 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2022

✔ NPI 1053658005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

10316 WOODLEY AVE, Granada Hills, CA 91344

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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

Jamie 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 ID3072837640

PECOS Enrollment IDI20150130002122

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91344 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

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