JI EUN KIM PA-C
NPI 1386065092
Physician Assistant in Los Angeles, CA

Active since December 23, 2013PECOS EnrolledAccepts Medicare Assignment
1500 SAN PABLO ST FL 4, LOS ANGELES, CA 90033(323) 442-7400 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2026, May 14, 2025, Jun 8, 2021 and 4 more (7 updates tracked since 2016).

About Ji Eun Kim Pa-c NPPES

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

JI EUN KIM PA-C (NPI 1386065092) is an individual physician assistant in Los Angeles, California, licensed in California (PA67248) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1386065092
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJI EUN KIMCredential: PA-C
Location Address1500 SAN PABLO ST FL 4Los Angeles, CA 90033-5313
Mailing AddressPo Box 50938Los Angeles, CA 90074-0938 · (323) 442-7400
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 23, 2013
Last NPPES UpdateMarch 19, 20267 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
NPI 1386065092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CA · PA67248 Licensed in PA · MA056549 Licensed in FL · PA9107704 Licensed in MN · 13716 Licensed in WI · 3934
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1500 SAN PABLO ST FL 4, Los Angeles, CA 90033

Other Names 1

Other Name (5)Genie Kim Pa-c

Secondary Practice Locations 3

Location 14367 NW American LnLake City, FL 32055-4828 · Phone (386) 758-6094 · Fax (386) 243-8152
Location 2200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511
Location 31222 E Woodland AveBarron, WI 54812-1765 · Phone (715) 537-3166

Accepted Insurance

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

Ji Eun Kim Pa-c 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 ID1658678040
PECOS Enrollment IDI20210816002026
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.

Areas of Expertise CMS Part B claims 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
42 services29 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240010
Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

Nurse Anesthetist, Certified Registered
1500 SAN PABLO ST FL 4
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST FL 4
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST FL 4
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST FL 4
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST FL 4
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST FL 4
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST FL 4
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST FL 4
LOS ANGELES, CA 90033

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 Ji Eun Kim's NPI number?

The NPI number for Ji Eun Kim is 1386065092. It was assigned to this individual provider in the NPPES registry on December 23, 2013. The provider is also known as Genie Kim Pa-C.

Where is Ji Eun Kim located?

Ji Eun Kim practices at 1500 San Pablo St Fl 4, Los Angeles, CA 90033. The listed phone number is (323) 442-7400.

What is Ji Eun Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ji Eun Kim enrolled in Medicare?

Yes. Ji Eun 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.

What insurance does Ji Eun Kim accept?

Health plans from Medica list Ji Eun Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ji Eun Kim affiliated with any hospitals?

According to CMS data, Ji Eun Kim is affiliated with Mayo Clinic Hospital Rochester.

When was this NPI record last updated?

The NPPES record for Ji Eun Kim was last updated on March 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.