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JAE EUN KIM FNP
NPI 1346077351
Nurse Practitioner - Family in Los Angeles, CA

Active since September 16, 2024PECOS Enrolled
3030 W OLYMPIC BLVD STE 206, LOS ANGELES, CA 90006(213) 332-2666 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2026, Sep 27, 2024, Sep 16, 2024 (3 updates tracked since 2024).

About Jae Eun Kim Fnp NPPES

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

JAE EUN KIM FNP (NPI 1346077351) is an individual family provider in Los Angeles, California, licensed in California (95031733) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346077351
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJAE EUN KIMCredential: FNP
Location Address3030 W OLYMPIC BLVD STE 206Los Angeles, CA 90006-6506
Mailing Address3030 W Olympic Blvd Ste 206Los Angeles, CA 90006-6506 · (213) 332-2666
Phone(213) 332-2666
Sole ProprietorYes
Enumeration DateSeptember 16, 2024
Last NPPES UpdateJune 1, 20263 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1346077351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95031733
3030 W OLYMPIC BLVD STE 206, Los Angeles, CA 90006
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jae Eun Kim Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90006 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 3

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

3C COMMUNITY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
3030 W OLYMPIC BLVD STE 206
LOS ANGELES, CA 90006
Los Angeles County (310) 658-4494
DASOM CHUN
Nurse Practitioner (Family)
3030 W OLYMPIC BLVD STE 206
LOS ANGELES, CA 90006
Los Angeles County (213) 322-2666
DONGSUN SHIN NP
Nurse Practitioner (Pediatrics)
3030 W OLYMPIC BLVD STE 206
LOS ANGELES, CA 90006
Los Angeles County (213) 322-2666

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 Jae Eun Kim's NPI number?

The NPI number for Jae Eun Kim is 1346077351. It was assigned to this individual provider in the NPPES registry on September 16, 2024.

Where is Jae Eun Kim located?

Jae Eun Kim practices at 3030 W Olympic Blvd Ste 206, Los Angeles, CA 90006. The listed phone number is (213) 332-2666.

What is Jae Eun Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jae Eun Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jae Eun Kim was last updated on June 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.