JESSICA KIM PA-C, D.C., L.AC
NPI 1285908673
Physician Assistant in Newport Beach, CA

Q: What is Jessica Kim's NPI number?

The NPI number for Jessica Kim is 1285908673. It was assigned to this individual provider in the NPPES registry on March 2, 2012.

Q: What is Jessica Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Kim was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since March 02, 2012PECOS Enrolled

1601 AVOCADO AVE, NEWPORT BEACH, CA 92660(949) 763-2204(949) 536-8036 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2026, Oct 26, 2017 (2 updates tracked since 2017).

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About Jessica Kim Pa-c, D.c., L.ac NPPES

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

JESSICA KIM PA-C, D.C., L.AC (NPI 1285908673) is an individual physician assistant in Newport Beach, California, licensed in California (55087) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Upland, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285908673

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJESSICA KIMCredential: PA-C, D.C., L.AC

Location Address1601 AVOCADO AVENewport Beach, CA 92660-7798

Mailing AddressPo Box 512185Los Angeles, CA 90051-0185

Phone(949) 763-2204

Fax(949) 536-8036

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 2, 2012

Last NPPES UpdateMay 5, 20262 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1285908673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · 55087

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License DC32286 (CA)

Also ListedAcupuncturistTaxonomy 171100000X · License AC14601 (CA)

1601 AVOCADO AVE, Newport Beach, CA 92660

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Secondary Practice Location 1

Location 11125 E 16th St, Suite 4Upland, CA 91784-9179 · Phone (909) 297-3531

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Kim Pa-c, D.c., L.ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658856075

PECOS Enrollment IDI20260402001874

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

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 17

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

PING H WANG MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1601 AVOCADO AVE
NEWPORT BEACH, CA 92660

Orange County (949) 763-2204

LINDA JOYCE BUCK NP

Nurse Practitioner (Adult Health)

1601 AVOCADO AVE
NEWPORT BEACH, CA 92660

Orange County (949) 763-2204

MARGARET MARIE YAGO M.D.

Radiology (Diagnostic Radiology)