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ASHLEY NINA KIM PA
NPI 1053990127
Physician Assistant in Irvine, CA

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment
15775 LAGUNA CANYON RD STE 100, IRVINE, CA 92618(949) 417-0272 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2025, May 29, 2023, Sep 17, 2021 and 1 more (4 updates tracked since 2021).

About Ashley Nina Kim Pa NPPES

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

ASHLEY NINA KIM PA (NPI 1053990127) is an individual physician assistant in Irvine, California, licensed in California (59888) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053990127
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameASHLEY NINA KIMCredential: PA
Location Address15775 LAGUNA CANYON RD STE 100Irvine, CA 92618-3190
Mailing Address28 Hideaway LoopMission Viejo, CA 92692-5962 · (949) 236-9479 · Fax (661) 520-4050
Phone(949) 417-0272
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 6, 2021
Last NPPES UpdateMay 6, 20254 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1053990127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 59888
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.
15775 LAGUNA CANYON RD STE 100, Irvine, CA 92618
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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

Ashley Nina Kim Pa 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 ID5597156513
PECOS Enrollment IDI20220614002143
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 92618 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.

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 Ashley Kim's NPI number?

The NPI number for Ashley Kim is 1053990127. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Ashley Kim located?

Ashley Kim practices at 15775 Laguna Canyon Rd Ste 100, Irvine, CA 92618. The listed phone number is (949) 417-0272.

What is Ashley Kim's specialty?

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

Is Ashley Kim enrolled in Medicare?

Yes. Ashley 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 Ashley Kim was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.