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JESSIE KIM
NPI 1356924195
Physician Assistant - Medical in Los Angeles, CA

Active since April 29, 2021PECOS Enrolled
5901 W CENTURY BLVD, LOS ANGELES, CA 90045(888) 312-6601 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2023, Jan 27, 2023, Nov 17, 2022 and 1 more (4 updates tracked since 2021).

About Jessie Kim NPPES

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

JESSIE KIM (NPI 1356924195) is an individual medical provider in Los Angeles, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1356924195
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJESSIE KIM
Location Address5901 W CENTURY BLVDLos Angeles, CA 90045-5411
Mailing Address9389 N Saint Martin DrFresno, CA 93720-1474 · (559) 709-0747
Phone(888) 312-6601
Sole ProprietorNo
Enumeration DateApril 29, 2021
Last NPPES UpdateMay 2, 20234 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
✔ NPI 1356924195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
5901 W CENTURY BLVD, Los Angeles, CA 90045
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Secondary Practice Location 1

Location 19389 N Saint Martin DrFresno, CA 93720-1474 · Phone (559) 709-0747

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessie Kim 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.

Other Providers at the Same Location NPPES 12

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

MS. SHIRLEY XIAOYING JIANG NP
Nurse Practitioner
5901 W CENTURY BLVD
LOS ANGELES, CA 90045
Los Angeles County (888) 641-5027
STEFFANY QUINN NP-C
Nurse Practitioner
5901 W CENTURY BLVD
LOS ANGELES, CA 90045
Los Angeles County (310) 215-6000
RELIANT IMMEDIATE CARE MEDICAL GROUP, INC.
Physical Therapist
5901 W CENTURY BLVD
LOS ANGELES, CA 90045
Los Angeles County (310) 215-6020
JASKIRAN SINGH FNP
Nurse Practitioner (Occupational Health)
5901 W CENTURY BLVD
LOS ANGELES, CA 90045
Los Angeles County (310) 215-6020
MICHELLE L BROWN PA-C
Physician Assistant
5901 W CENTURY BLVD
LOS ANGELES, CA 90045
Los Angeles County (888) 312-6601
INSIGHT PRACTICE PARTNERS MEDICAL GROUP INC
Clinic/Center (Health Service)
5901 W CENTURY BLVD
LOS ANGELES, CA 90045
Los Angeles County (310) 714-7877
CRISTALEE WIJANGCO
Nurse Practitioner (Family)
5901 W CENTURY BLVD
LOS ANGELES, CA 90045
Los Angeles County (740) 785-1369
POU ELLIE LUE NP-C
Nurse Practitioner (Family)
5901 W CENTURY BLVD
LOS ANGELES, CA 90045
Los Angeles County (888) 312-6601

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 Jessie Kim's NPI number?

The NPI number for Jessie Kim is 1356924195. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Jessie Kim located?

Jessie Kim practices at 5901 W Century Blvd, Los Angeles, CA 90045. The listed phone number is (888) 312-6601.

What is Jessie Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jessie Kim enrolled in Medicare?

Yes. Jessie Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessie Kim was last updated on May 2, 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.