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EDWARD J. KIM P.A.
NPI 1063870723
Physician Assistant in La Jolla, CA

Active since February 09, 2016PECOS EnrolledAccepts Medicare Assignment
9888 GENESEE AVE, TRAUMA SERVICE #LJ601, LA JOLLA, CA 92037(858) 626-6362 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward J. Kim P.a. NPPES

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

EDWARD J. KIM P.A. (NPI 1063870723) is an individual physician assistant in La Jolla, California, licensed in California (52796) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1063870723
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEDWARD J. KIMCredential: P.A.
Location Address9888 GENESEE AVE, TRAUMA SERVICE #LJ601La Jolla, CA 92037
Mailing Address9888 Genesee Ave, Trauma Service #lj601La Jolla, CA 92037 · (858) 626-6362
Phone(858) 626-6362
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 9, 2016
✔ NPI 1063870723 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 · 52796
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.
9888 GENESEE AVE, La Jolla, CA 92037
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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

Edward J. Kim P.a. 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 ID6002103215
PECOS Enrollment IDI20160930001805
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 92037 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 20

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

MRS. KIERSTEN DUTRA RN
Registered Nurse
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 834-1798
LA JOLLA RADIOLOGY MEDICAL GROUP THERAPY, INC
Clinic/Center (Oncology, Radiation)
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (760) 599-9545
JOSHUA JINHONG PARK PHARMD
Pharmacist
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 305-4336
DR. MONTE TIM MELLON M.D. M.B.A.
Emergency Medicine
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 626-6150
JAMES G. SCHWENDIG M.D.
Surgery (Trauma Surgery)
9888 GENESEE AVE, LJ-601
LA JOLLA, CA 92037
San Diego County (858) 626-6350
AMY EVENSTAD PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9888 GENESEE AVE, LJ 18
LA JOLLA, CA 92037
San Diego County (858) 626-4606
RYAN FONG
Registered Nurse
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 834-1798
CHRISTOPHER LUCAS WALSH M.D.
Internal Medicine
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (410) 428-7710

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 Edward Kim's NPI number?

The NPI number for Edward Kim is 1063870723. It was assigned to this individual provider in the NPPES registry on February 9, 2016.

Where is Edward Kim located?

Edward Kim practices at 9888 Genesee Ave Trauma Service #lj601, La Jolla, CA 92037. The listed phone number is (858) 626-6362.

What is Edward Kim's specialty?

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

Is Edward Kim enrolled in Medicare?

Yes. Edward 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 Edward Kim was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.