JIN KWON MD
NPI 1346446796
Family Medicine in Santa Rosa, CA

Q: What is Jin Kwon's NPI number?

The NPI number for Jin Kwon is 1346446796. It was assigned to this individual provider in the NPPES registry on June 22, 2007.

Q: What is Jin Kwon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jin Kwon was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 22, 2007PECOS EnrolledAccepts Medicare Assignment

3324 CHANATE RD, SANTA ROSA, CA 95404(707) 576-4070(707) 576-4087 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Jin Kwon Md NPPES

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

JIN KWON MD (NPI 1346446796) is an individual family medicine provider in Santa Rosa, California, licensed in Maryland (D79192) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2007).

NPPES Registry Identity

NPI1346446796

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJIN KWONCredential: MD

Location Address3324 CHANATE RDSanta Rosa, CA 95404-1708

Mailing Address811 4th St Nw, Apt#211Washington, DC 20001-4902 · (617) 901-2353

Phone(707) 576-4070

Fax(707) 576-4087

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 2007

Enumeration DateJune 22, 2007

Last NPPES UpdateJanuary 13, 2023

✔ NPI 1346446796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MD · D79192

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3324 CHANATE RD, Santa Rosa, CA 95404

Open in Google Maps ↗

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

Jin Kwon Md 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.

PECOS PAC ID5193903177

PECOS Enrollment IDI20110621000763

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 Reassignments

Medicare enrollment records show Jin Kwon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc

34 mi

Internal Medicine

975 SERENO DRIVE
Vallejo, CA 94589

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1336222397 (707) 651-1000

City & County Of San Francisco

49 mi

Primary Care

729 FILBERT ST
San Francisco, CA 94133

Reassigned Medicare billing, California enrollment
1,573 clinicians in this Medicare group

NPI 1023579356 (415) 352-2000

Southern California Permanente Medical Group

354 mi

Health Maintenance Organization

2103 E GONZALES RD
Oxnard, CA 93036

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1275756652 (805) 650-4700

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 95404 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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 8

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

MARIAH ANNE HANSEN PSYD

Psychologist