SHAFTER RURAL HEALTH CARE CLINIC
NPI 1073796843
Clinic/Center - Primary Care in Shafter, CA

Active since December 14, 2007
565 KERN ST, SHAFTER, CA 93263(661) 746-4937 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shafter Rural Health Care Clinic NPPES

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

SHAFTER RURAL HEALTH CARE CLINIC (NPI 1073796843) is a healthcare organization registered as a primary care in Shafter, California and active in the NPI registry since December 2007. The organization lists Vickie Williamson, Office Supervisor, as its authorized official.

NPPES Registry Identity

NPI1073796843
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJAE J. KIM, M.D.
Location Address565 KERN STShafter, CA 93263-2133
Mailing Address565 Kern StShafter, CA 93263-2133 · (661) 746-4937
Organization SubpartNo
Authorized OfficialVickie WilliamsonOffice Supervisor · (661) 746-4937
Enumeration DateDecember 14, 2007
Last NPPES UpdateJune 27, 2008
NPI 1073796843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in CA · A38875
565 KERN ST, Shafter, CA 93263

Other Names 1

Doing Business AsShafter Rural Health Care Clinic

Other Identifiers 3

Medicare PIN00A388750CA
Medicare UPINA28746CA
MedicaidRHM53819FCA

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner
565 KERN ST
SHAFTER, CA 93263
Family Medicine
565 KERN ST
SHAFTER, CA 93263
Nurse Practitioner (Primary Care)
565 KERN ST
SHAFTER, CA 93263
Clinic/Center (Rural Health)
565 KERN ST
SHAFTER, CA 93263
Nurse Practitioner
565 KERN ST
SHAFTER, CA 93263
Family Medicine
565 KERN ST
SHAFTER, CA 93263
Nurse Practitioner (Family)
565 KERN ST
SHAFTER, CA 93263
Nurse Practitioner (Primary Care)
565 KERN ST
SHAFTER, CA 93263

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 Jae J. Kim, M.D.'s NPI number?

The NPI number for Jae J. Kim, M.D. is 1073796843. It was assigned to this organization in the NPPES registry on December 14, 2007. The provider is doing business as Shafter Rural Health Care Clinic.

Where is Jae J. Kim, M.D. located?

Jae J. Kim, M.D. is located at 565 Kern St, Shafter, CA 93263. The listed phone number is (661) 746-4937.

What is Jae J. Kim, M.D.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Jae J. Kim, M.D. was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.