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JUNG O. KIM N.P.
NPI 1215307095
Nurse Practitioner in Lancaster, CA

Active since October 06, 2015PECOS Enrolled
1600 W AVENUE J, LANCASTER, CA 93534(661) 478-7420(661) 726-6149 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 9, 2022, Jul 14, 2020, Jan 13, 2017 and 1 more (4 updates tracked since 2016).

About Jung O. Kim N.p. NPPES

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

JUNG O. KIM N.P. (NPI 1215307095) is an individual nurse practitioner in Lancaster, California, licensed in California (95002596) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215307095
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJUNG O. KIMCredential: N.P.
Location Address1600 W AVENUE JLancaster, CA 93534-2814
Mailing Address1600 W Avenue JLancaster, CA 93534-2814 · (661) 478-7420 · Fax (661) 726-6149
Phone(661) 478-7420
Fax(661) 726-6149
Sole ProprietorNo
Enumeration DateOctober 6, 2015
Last NPPES UpdateAugust 9, 20224 updates tracked since enumeration
NPPES CertifiedAugust 9, 2022
✔ NPI 1215307095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95002596
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95002596 (CA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 95002596 (CA)
1600 W AVENUE J, Lancaster, CA 93534
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jung O. Kim N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jung Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scct Medical Group, PC
32 mi
Internal Medicine
23845 MCBEAN PKWY
Valencia, CA 91355
  • Reassigned Medicare billing, California enrollment
  • 29 clinicians in this Medicare group
NPI 1952878795 (661) 200-1122

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 93534 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

MR. CHRISTIAN CHAVAT HAUSER P.A-C
Physician Assistant (Medical)
1600 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-5000
FREDERIC S AUERBACH MD
Emergency Medicine
1600 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-5000
MARTIN VASQUEZ
Nurse Practitioner
1600 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-5000
DALIA CHRISTINE ZAHROON PA-C
Physician Assistant
1600 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 726-6225
DR. XIAOYAN ZHOU
Pathology (Anatomic Pathology & Clinical Pathology)
1600 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-5611
ROSANNA EDITH SALICE FNP
Registered Nurse (Emergency)
1600 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-5000
MS. NATALIE HERNANDEZ
Speech-Language Pathologist
1600 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-5000
FRANK DETRANA MD
Emergency Medicine
1600 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-5000

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 Jung Kim's NPI number?

The NPI number for Jung Kim is 1215307095. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Where is Jung Kim located?

Jung Kim practices at 1600 W Avenue J, Lancaster, CA 93534. The listed phone number is (661) 478-7420.

What is Jung Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jung Kim enrolled in Medicare?

Yes. Jung Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jung Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jung Kim reassigns Medicare benefits to Scct Medical Group, PC (Valencia, 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 Jung 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 Jung Kim was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.