MS. TERESA JIWON KIM NP
NPI 1386078327
Nurse Practitioner - Family in Cerritos, CA

Active since August 27, 2013PECOS EnrolledAccepts Medicare Assignment
11911 ARTESIA BLVD, STE#101, CERRITOS, CA 90701(562) 402-7622(562) 402-2452 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Teresa Jiwon Kim Np NPPES

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

MS. TERESA JIWON KIM NP (NPI 1386078327) is an individual family provider in Cerritos, California, licensed in California (NP22773) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1386078327
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. TERESA JIWON KIMCredential: NP
Location Address11911 ARTESIA BLVD, STE#101Cerritos, CA 90701-4065
Mailing Address11911 Artesia Blvd, Ste#101Cerritos, CA 90701-4065 · (562) 402-7622 · Fax (562) 402-2452
Fax(562) 402-2452
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 27, 2013
Last NPPES UpdateJune 6, 2014
NPI 1386078327 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 · NP22773
11911 ARTESIA BLVD, Cerritos, CA 90701

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

Ms. Teresa Jiwon 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 ID648547109
PECOS Enrollment IDI20170605001230
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90701 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 14

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

Family Medicine
11911 ARTESIA BLVD, #101
CERRITOS, CA 90701
Physical Therapist
11911 ARTESIA BLVD, SUITE 207
CERRITOS, CA 90701
Chiropractor
11911 ARTESIA BLVD
CERRITOS, CA 90701
Nurse Practitioner (Family)
11911 ARTESIA BLVD
CERRITOS, CA 90701
Hospice Care, Community Based
11911 ARTESIA BLVD, SUITE 104A
CERRITOS, CA 90701
Family Medicine
11911 ARTESIA BLVD, SUIT #101
CERRITOS, CA 90701
Clinic/Center (Health Service)
11911 ARTESIA BLVD, SUITE 105
CERRITOS, CA 90701
Specialist
11911 ARTESIA BLVD, SUITE 104-B
CERRITOS, CA 90701

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 Teresa Kim's NPI number?

The NPI number for Teresa Kim is 1386078327. It was assigned to this individual provider in the NPPES registry on August 27, 2013.

Where is Teresa Kim located?

Teresa Kim practices at 11911 Artesia Blvd Ste#101, Cerritos, CA 90701. The listed phone number is (562) 402-7622.

What is Teresa Kim's specialty?

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

Is Teresa Kim enrolled in Medicare?

Yes. Teresa 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 Teresa Kim was last updated on June 6, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.