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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JONATHAN KIM DO
NPI 1134817604
Family Medicine in Elk Grove, CA

Active since April 24, 2023PECOS EnrolledAccepts Medicare Assignment
8170 LAGUNA BLVD STE 215, ELK GROVE, CA 95758(916) 691-5900(916) 854-6769 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jonathan Kim Do NPPES

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

JONATHAN KIM DO (NPI 1134817604) is an individual family medicine provider in Elk Grove, California, licensed in California (20A25261) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with St Vincent Healthcare, and maintains a secondary practice location in Billings.

NPPES Registry Identity

NPI1134817604
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJONATHAN KIMCredential: DO
Location Address8170 LAGUNA BLVD STE 215Elk Grove, CA 95758-7902
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Phone(916) 691-5900
Fax(916) 854-6769
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 24, 2023
Last NPPES UpdateSeptember 15, 2026
NPPES CertifiedSeptember 15, 2026
✔ NPI 1134817604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A25261
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8170 LAGUNA BLVD STE 215, Elk Grove, CA 95758
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Other Names 1

Former Name (1)Jonathan Jihyuk

Secondary Practice Location 1

Location 1123 S 27th StBillings, MT 59101-4227 · Phone (406) 247-3350 · Fax (406) 247-3389

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Kim Do 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 ID7810358124
PECOS Enrollment IDI20260814001928
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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Valley Medical Foundation
15 mi
Multi-Specialty
2700 GATEWAY OAKS DR
Sacramento, CA 95833
  • Reassigned Medicare billing, California enrollment
  • 3,056 clinicians in this Medicare group
NPI 1952327256 (800) 470-0071

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Vincent Healthcare

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270049
Location1233 N 30th StBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95758 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
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 4

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

ELIZABETH TALLEY M.D.
Family Medicine
8170 LAGUNA BLVD STE 215
ELK GROVE, CA 95758
Sacramento County (916) 691-5900
HELENE THUY-HA NGUYEN D.O.
Family Medicine
8170 LAGUNA BLVD STE 215
ELK GROVE, CA 95758
Sacramento County (916) 691-5900
LEE NGUYEN MD
Anesthesiology (Pain Medicine)
8170 LAGUNA BLVD STE 215
ELK GROVE, CA 95758
Sacramento County (916) 454-6850
JACALYNN SHUTING KIM DO
Family Medicine
8170 LAGUNA BLVD STE 215
ELK GROVE, CA 95758
Sacramento County (916) 691-5900

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 Jonathan Kim's NPI number?

The NPI number for Jonathan Kim is 1134817604. It was assigned to this individual provider in the NPPES registry on April 24, 2023. The provider is also known as Jonathan Jihyuk.

Where is Jonathan Kim located?

Jonathan Kim practices at 8170 Laguna Blvd Ste 215, Elk Grove, CA 95758. The listed phone number is (916) 691-5900.

What is Jonathan Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jonathan Kim enrolled in Medicare?

Yes. Jonathan 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.

Which organization bills Medicare for Jonathan Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Kim reassigns Medicare benefits to Sutter Valley Medical Foundation (Sacramento, CA). The 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 Jonathan Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jonathan Kim affiliated with any hospitals?

According to CMS data, Jonathan Kim is affiliated with St Vincent Healthcare.

When was this NPI record last updated?

The NPPES record for Jonathan Kim was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.