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JAY KIM NP
NPI 1356837496
Nurse Practitioner - Adult Health in Pasadena, CA

Active since July 02, 2018PECOS EnrolledAccepts Medicare Assignment
87 N WILSON AVE APT 1, PASADENA, CA 91106(703) 981-2924 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 11, 2022, Oct 12, 2018, Jul 2, 2018 (3 updates tracked since 2018).

About Jay Kim Np NPPES

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

JAY KIM NP (NPI 1356837496) is an individual adult health provider in Pasadena, California, licensed in California (NP95069185) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1356837496
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameJAY KIMCredential: NP
Location Address87 N WILSON AVE APT 1Pasadena, CA 91106-2318
Mailing Address9201 W Sunset Blvd, Ste 820West Hollywood, CA 90069-3701 · (310) 550-1010 · Fax (310) 550-0650
Phone(703) 981-2924
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 2, 2018
Last NPPES UpdateJanuary 11, 20223 updates tracked since enumeration
✔ NPI 1356837496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · NP95069185
87 N WILSON AVE APT 1, Pasadena, CA 91106
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Other Names 1

Other Name (5)Sungmin Kim

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jay Kim Np 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 ID8426394826
PECOS Enrollment IDI20190107000108
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 91106 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.

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 Jay Kim's NPI number?

The NPI number for Jay Kim is 1356837496. It was assigned to this individual provider in the NPPES registry on July 2, 2018. The provider is also known as Sungmin Kim.

Where is Jay Kim located?

Jay Kim practices at 87 N Wilson Ave Apt 1, Pasadena, CA 91106. The listed phone number is (703) 981-2924.

What is Jay Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jay Kim enrolled in Medicare?

Yes. Jay 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.

When was this NPI record last updated?

The NPPES record for Jay Kim was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.