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JONGJIN KIM M.D.
NPI 1356605836
Internal Medicine in La Palma, CA

Active since June 28, 2012PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2258713 · Waiver
5471 LA PALMA AVE, LA PALMA, CA 90623(714) 752-6088(657) 577-9135 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2026, Sep 4, 2018 (2 updates tracked since 2018).

About Jongjin Kim M.d. NPPES

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

JONGJIN KIM M.D. (NPI 1356605836) is an individual internal medicine provider in La Palma, California, licensed in California (A133928) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 25, 2028, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1356605836
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJONGJIN KIMCredential: M.D.
Location Address5471 LA PALMA AVELa Palma, CA 90623-1745
Mailing Address145 Versailles Cir Apt DTowson, MD 21204-6933 · (443) 862-6573
Phone(714) 752-6088
Fax(657) 577-9135
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 28, 2012
Last NPPES UpdateApril 30, 20262 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1356605836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A133928
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5471 LA PALMA AVE, La Palma, CA 90623
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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 and accepts Medicare assignment

Jongjin Kim M.d. 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 ID6305097015
PECOS Enrollment IDI20220418001217
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 Jongjin Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jongjin Kim MD Inc
Same address
Internal Medicine
5471 LA PALMA AVE STE 200
La Palma, CA 90623
  • Reassigned Medicare billing, California enrollment
NPI 1689334476 (714) 752-6088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2258713

Jongjin Kim MD Inc · La Palma, CA
Active · expires Apr 25, 2028
CLIA Number05D2258713
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2026
Certificate Expiration DateApril 25, 2028
Laboratory DirectorJongjin Kim
Laboratory Phone(714) 752-6088
Laboratory LocationJongjin Kim MD Inc5471 La Palma Ave Ste 200, La Palma, CA 90623
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services35 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
60 services39 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90623 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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 7

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

DR. LAWRENCE MARTIN NICHOLS M.D
Dermatology
5471 LA PALMA AVE, STE. 202
LA PALMA, CA 90623
Orange County (714) 522-2041
LAWRENCE M NICHOLS MD INC
Dermatology
5471 LA PALMA AVE, SUITE 202
LA PALMA, CA 90623
Orange County (714) 522-2041
INTERCOMMUNITY CARDIOLOGY A MEDICAL GROUP
Internal Medicine (Cardiovascular Disease)
5471 LA PALMA AVE, 103
LA PALMA, CA 90623
Orange County (714) 523-7122
MARVI IQBAL MD INC
Dermatology
5471 LA PALMA AVE, SUITE 103
LA PALMA, CA 90623
Orange County (714) 670-1261
HASHEM M FATEMI
Internal Medicine (Cardiovascular Disease)
5471 LA PALMA AVE, SUITE 203
LA PALMA, CA 90623
Orange County (714) 523-7122
NORMAN KUO MD PHD PROFESSIONAL CORPORATION
Internal Medicine (Gastroenterology)
5471 LA PALMA AVE, SUITE 105
LA PALMA, CA 90623
Orange County (714) 521-0239
NORMAN KUO M.D.
Internal Medicine (Gastroenterology)
5471 LA PALMA AVE, SUITE 105
LA PALMA, CA 90623
Orange County (714) 521-0239

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 Jongjin Kim's NPI number?

The NPI number for Jongjin Kim is 1356605836. It was assigned to this individual provider in the NPPES registry on June 28, 2012.

Where is Jongjin Kim located?

Jongjin Kim practices at 5471 La Palma Ave, La Palma, CA 90623. The listed phone number is (714) 752-6088.

What is Jongjin Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jongjin Kim enrolled in Medicare?

Yes. Jongjin Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jongjin Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jongjin Kim reassigns Medicare benefits to Jongjin Kim MD Inc (La Palma, 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 Jongjin Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Jongjin Kim hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2258713) is associated with this NPI, valid through April 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jongjin Kim was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.