JIHEE KIM FNP
NPI 1194395053
Nurse Practitioner - Family in La Palma, CA
About Jihee Kim Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIHEE KIM FNP (NPI 1194395053) is an individual family provider in La Palma, California, licensed in California (95023194) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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
Jihee Kim Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Jihee Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fountain Valley, CA 92708
- Reassigned Medicare billing, California enrollment
- 948 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LA PALMA, CA 90623
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 Jihee Kim's NPI number?
The NPI number for Jihee Kim is 1194395053. It was assigned to this individual provider in the NPPES registry on July 1, 2021.
Where is Jihee Kim located?
Jihee Kim practices at 5471 La Palma Ave Ste 200, La Palma, CA 90623. The listed phone number is (999) 999-9999.
What is Jihee Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jihee Kim enrolled in Medicare?
Yes. Jihee 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 Jihee Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jihee Kim reassigns Medicare benefits to Memorialcare Medical Foundation (Fountain Valley, 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 Jihee Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jihee Kim was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 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.
# Jihee Kim, FNP · NPI 1194395053
Family physician in La Palma, California. Individual provider, active in the CMS NPPES registry since July 1, 2021.
## Identity
- **NPI:** 1194395053 (Entity type: Individual)
- **Enumerated:** July 1, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95023194 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5471 LA PALMA AVE STE 200, La Palma, CA 90623-4702
- **Phone:** (999) 999-9999
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Memorialcare Medical Foundation (NPI 1205167350, Fountain Valley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1194395053) · Data from the CMS NPPES public registry.