JASON KIM DO
NPI 1366938953
Anesthesiology in Santa Ana, CA

Q: What is Jason Kim's NPI number?

The NPI number for Jason Kim is 1366938953. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Q: What is Jason Kim's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Kim was last updated on September 14, 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.

Active since July 06, 2018PECOS EnrolledAccepts Medicare Assignment

400 N TUSTIN AVE, SANTA ANA, CA 92705(714) 619-5383 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2022, Jul 6, 2018 (2 updates tracked since 2018).

On this page

About Jason Kim Do NPPES

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

JASON KIM DO (NPI 1366938953) is an individual anesthesiology provider in Santa Ana, California, licensed in California (17879) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in West Hollywood, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2018).

NPPES Registry Identity

NPI1366938953

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameJASON KIMCredential: DO

Location Address400 N TUSTIN AVESanta Ana, CA 92705-3813

Mailing Address3075 Wilshire Blvd Apt 304Los Angeles, CA 90010-1287

Phone(714) 619-5383

Sole ProprietorNo

Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2018

Enumeration DateJuly 6, 2018

Last NPPES UpdateSeptember 14, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2022

✔ NPI 1366938953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in CA · 17879

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

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

400 N TUSTIN AVE, Santa Ana, CA 92705

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Secondary Practice Location 1

Location 18700 Beverly BlvdWest Hollywood, CA 90048 · Phone (310) 423-1682

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

Jason Kim Do 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 ID1850775156

PECOS Enrollment IDI20220906002602

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 Jason Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allied Anesthesia Medical Group Inc

Reassigned Medicare billing, California enrollment
420 clinicians in this Medicare group

No phone listed

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

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

37 services36 patients

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

27 services27 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

22 services22 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

17 services17 patients

Injection of substance into lower spine canal 62322

This procedure involves injecting a substance into your lower spine canal, often for pain relief or diagnostic purposes. A needle is carefully inserted into the area, and the substance is then administered. It's generally safe and can provide valuable information about your spinal health.

11 services11 patients

Other Providers at the Same Location NPPES 9

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

WILLEM XU MD

Anesthesiology

400 N TUSTIN AVE
SANTA ANA, CA 92705

Orange County (714) 619-5391

DUSTIN G MORRIS MD

Anesthesiology

400 N TUSTIN AVE
SANTA ANA, CA 92705

Orange County (714) 619-5391

DR. LAWRENCE ONG M.D., M.ENG.

Anesthesiology

400 N TUSTIN AVE, SUITE 400
SANTA ANA, CA 92705

Orange County (800) 888-2186

JENNIFER FERRUFINO

Technician, Health Information (Assistant Record Technician)

400 N TUSTIN AVE
SANTA ANA, CA 92705

Orange County (714) 617-4886

DR. JENNIFER E ENGSTROM MD

Anesthesiology

400 N TUSTIN AVE, SUITE 400
SANTA ANA, CA 92705

Orange County (949) 417-1825

EXECUTIVE HAND THERAPY, INC.

Clinic/Center (Physical Therapy)

400 N TUSTIN AVE, SUITE 401
SANTA ANA, CA 92705

Orange County (714) 564-8210

PAMELA JEAN JACOBSON LAC

Acupuncturist

400 N TUSTIN AVE, SUITE 380
SANTA ANA, CA 92705

Orange County (714) 730-2233

THE HEALING SANCTUARY SPA, INC

Acupuncturist

400 N TUSTIN AVE, SUITE 380
SANTA ANA, CA 92705

Orange County (714) 730-2233

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 Jason Kim's NPI number?

The NPI number for Jason Kim is 1366938953. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Where is Jason Kim located?

Jason Kim practices at 400 N Tustin Ave, Santa Ana, CA 92705. The listed phone number is (714) 619-5383.

What is Jason Kim's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jason Kim enrolled in Medicare?

Yes. Jason 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 Jason Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Kim reassigns Medicare benefits to Allied Anesthesia Medical Group Inc (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 Jason Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jason Kim was last updated on September 14, 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.