1. Home
  2. Directory
  3. California
  4. Cerritos
  5. Nurse Practitioner
  6. NPI Profile

JESSICA WIEDEMANN KIM FNP
NPI 1366990798
Nurse Practitioner - Family in Cerritos, CA

Active since September 14, 2016PECOS Enrolled
12900 PARK PLAZA DR, SUITE #150, CERRITOS, CA 90703(800) 499-2793 Get Directions Write a Review

NPPES record last updated: October 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 18, 2016, Sep 14, 2016 (2 updates tracked since 2016).

About Jessica Wiedemann Kim Fnp NPPES

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

JESSICA WIEDEMANN KIM FNP (NPI 1366990798) is an individual family provider in Cerritos, California, licensed in California (95004967) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366990798
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA WIEDEMANN KIMCredential: FNP
Location Address12900 PARK PLAZA DR, SUITE #150Cerritos, CA 90703-9329
Mailing Address12900 Park Plaza Dr, Suite #150Cerritos, CA 90703-9329 · (800) 499-2793
Phone(800) 499-2793
Sole ProprietorYes
Enumeration DateSeptember 14, 2016
Last NPPES UpdateOctober 18, 20162 updates tracked since enumeration
✔ NPI 1366990798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95004967
12900 PARK PLAZA DR, Cerritos, CA 90703
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Wiedemann Kim Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90703 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.

Other Providers at the Same Location NPPES 20

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

DR. ARDAVAN MEHDIZADEH M.D.
Internal Medicine
12900 PARK PLAZA DR, SUITE 150
CERRITOS, CA 90703
Los Angeles County (562) 207-0139
DONALD S. FURMAN MD
Internal Medicine (Gastroenterology)
12900 PARK PLAZA DR, ATTENTION: MAGGIE NOLES
CERRITOS, CA 90703
Los Angeles County (562) 741-4461
CHARLES HALBERT
Marriage & Family Therapist
12900 PARK PLAZA DR
CERRITOS, CA 90703
Los Angeles County (562) 246-3510
IRIS BUAN DNP, NP-C
Nurse Practitioner (Family)
12900 PARK PLAZA DR
CERRITOS, CA 90703
Los Angeles County (310) 808-3410
SIERRA HARTSFIELD
Social Worker (Clinical)
12900 PARK PLAZA DR
CERRITOS, CA 90703
Los Angeles County (562) 467-5438
ALBION MEDICAL PARTNERS OF CALIFORNIA WEST P C
Internal Medicine
12900 PARK PLAZA DR, STE 700, MS-7110
CERRITOS, CA 90703
Los Angeles County (562) 622-2800
MARCIA PATRICIA HARLAN FNP-C
Nurse Practitioner (Family)
12900 PARK PLAZA DR, STE 150
CERRITOS, CA 90703
Los Angeles County (866) 646-3553
KRYSTAL ADAMS N.P
Nurse Practitioner
12900 PARK PLAZA DR
CERRITOS, CA 90703
Los Angeles County (562) 622-2803

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 Jessica Kim's NPI number?

The NPI number for Jessica Kim is 1366990798. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Jessica Kim located?

Jessica Kim practices at 12900 Park Plaza Dr Suite #150, Cerritos, CA 90703. The listed phone number is (800) 499-2793.

What is Jessica Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Kim was last updated on October 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.