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JI EUN KIM
NPI 1316834047
Student in an Organized Health Care Education/Training Program in Bakersfield, CA

Active since June 24, 2025PECOS Enrolled
3543 SAN DIMAS ST UNIT A, BAKERSFIELD, CA 93301(805) 222-5803 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2025, Jun 24, 2025 (2 updates tracked since 2025).

About Ji Eun Kim NPPES

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

JI EUN KIM (NPI 1316834047) is an individual student in an organized health care education/training program in Bakersfield, California and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1316834047
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJI EUN KIM
Location Address3543 SAN DIMAS ST UNIT ABakersfield, CA 93301-1605
Mailing Address3095 Old Conejo Rd Ste 200Thousand Oaks, CA 91320-2130 · (888) 367-1850 · Fax (805) 222-0323
Phone(805) 222-5803
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 24, 2025
Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1316834047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3543 SAN DIMAS ST UNIT A, Bakersfield, CA 93301
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Other Names 1

Other Name (5)Jinny Kim

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ji Eun Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719463702
PECOS Enrollment IDI20260108004414
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.

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 Ji Eun Kim's NPI number?

The NPI number for Ji Eun Kim is 1316834047. It was assigned to this individual provider in the NPPES registry on June 24, 2025. The provider is also known as Jinny Kim.

Where is Ji Eun Kim located?

Ji Eun Kim practices at 3543 San Dimas St Unit A, Bakersfield, CA 93301. The listed phone number is (805) 222-5803.

What is Ji Eun Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ji Eun Kim enrolled in Medicare?

Yes. Ji Eun Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ji Eun Kim was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.