JASUNG KIM PSYCHIATRIST CLINIC, APC
NPI 1083258073
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Q: What is Jasung Kim Psychiatrist Clinic, Apc's NPI number?

The NPI number for Jasung Kim Psychiatrist Clinic, Apc is 1083258073. It was assigned to this organization in the NPPES registry on November 1, 2019.

Q: What is Jasung Kim Psychiatrist Clinic, Apc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since November 01, 2019

505 SHATTO PL STE 204, LOS ANGELES, CA 90020(213) 797-5953(888) 550-3121 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 25, 2023, Nov 1, 2019 (2 updates tracked since 2019).

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About Jasung Kim Psychiatrist Clinic, Apc NPPES

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

JASUNG KIM PSYCHIATRIST CLINIC, APC (NPI 1083258073) is a healthcare organization registered as a psychiatry in Los Angeles, California and active in the NPI registry since November 2019. The organization lists Jasung Kim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083258073

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameJASUNG KIM PSYCHIATRIST CLINIC, APC

Location Address505 SHATTO PL STE 204Los Angeles, CA 90020-1777

Mailing Address505 Shatto PlLos Angeles, CA 90020-1754 · (213) 797-5953 · Fax (888) 550-3121

Phone(213) 797-5953

Fax(888) 550-3121

Organization SubpartNo

Authorized OfficialJasung KimCeo · (213) 797-5953

Enumeration DateNovember 1, 2019

Last NPPES UpdateMay 25, 20232 updates tracked since enumeration

NPPES CertifiedMay 25, 2023

✔ NPI 1083258073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

505 SHATTO PL STE 204, Los Angeles, CA 90020

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jasung Kim Psychiatrist Clinic, Apc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jasung Kim Psychiatrist Clinic, Apc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jasung Kim, MD

Psychiatry

NPI 1134235484

505 SHATTO PL STE 204
Los Angeles, CA 90020

(213) 797-5953

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jasung Kim Psychiatrist Clinic, Apc's NPI number?

The NPI number for Jasung Kim Psychiatrist Clinic, Apc is 1083258073. It was assigned to this organization in the NPPES registry on November 1, 2019.

Where is Jasung Kim Psychiatrist Clinic, Apc located?

Jasung Kim Psychiatrist Clinic, Apc is located at 505 Shatto Pl Ste 204, Los Angeles, CA 90020. The listed phone number is (213) 797-5953.

What is Jasung Kim Psychiatrist Clinic, Apc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jasung Kim Psychiatrist Clinic, Apc enrolled in Medicare?

Yes. Jasung Kim Psychiatrist Clinic, Apc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jasung Kim Psychiatrist Clinic, Apc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Jasung Kim Psychiatrist Clinic, Apc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jasung Kim Psychiatrist Clinic, Apc was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.