JANE KIM PA-C
NPI 1396265807
Physician Assistant in Los Angeles, CA

Q: What is Jane Kim's NPI number?

The NPI number for Jane Kim is 1396265807. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Q: What is Jane Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jane Kim was last updated on April 22, 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.

Active since June 26, 2017PECOS Enrolled

1520 SAN PABLO ST STE 1000, LOS ANGELES, CA 90033(323) 442-5100 Get Directions Write a Review

NPPES record last updated: April 22, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 20, 2021, Sep 7, 2020, Mar 23, 2019 and 1 more (4 updates tracked since 2017).

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About Jane Kim Pa-c NPPES

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

JANE KIM PA-C (NPI 1396265807) is an individual physician assistant in Los Angeles, California, licensed in California (PA54815) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396265807

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJANE KIMCredential: PA-C

Location Address1520 SAN PABLO ST STE 1000Los Angeles, CA 90033-5312

Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5100

Phone(323) 442-5100

Sole ProprietorNo

Enumeration DateJune 26, 2017

Last NPPES UpdateApril 22, 20234 updates tracked since enumeration

NPPES CertifiedApril 22, 2023

✔ NPI 1396265807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA54815

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.

1520 SAN PABLO ST STE 1000, Los Angeles, CA 90033

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jane Kim Pa-c 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 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748

DME-Other DME · category DE000N

1 supplier16 claims16 services$3,777.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SERENA GHANSHANI MD

Internal Medicine (Cardiovascular Disease)