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MS. HAEJIN REBECCA KIM PA
NPI 1407927908
Physician Assistant in West Sacramento, CA

Active since November 13, 2006PECOS Enrolled
500 JEFFERSON BLVD STE B180, WEST SACRAMENTO, CA 95605(916) 403-2900 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Haejin Rebecca Kim Pa NPPES

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

MS. HAEJIN REBECCA KIM PA (NPI 1407927908) is an individual physician assistant in West Sacramento, California, licensed in California (PA18683) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Corona.

NPPES Registry Identity

NPI1407927908
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. HAEJIN REBECCA KIMCredential: PA
Location Address500 JEFFERSON BLVD STE B180West Sacramento, CA 95605-2394
Mailing Address500 Jefferson Blvd Ste B180West Sacramento, CA 95605-2394 · (916) 403-2900
Phone(916) 403-2900
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1407927908 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 · PA18683
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.
500 JEFFERSON BLVD STE B180, West Sacramento, CA 95605
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Other Names 1

Former Name (1)Ms. Haejin Rebecca Jun Pa

Secondary Practice Location 1

Location 1770 Magnolia Ave Ste 2ACorona, CA 92879-3122 · Phone (951) 736-8144

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Haejin Rebecca Kim Pa 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 95605 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

EVA AZUCENA BERNAL CAMPOS
Social Worker
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605
Yolo County (916) 370-3841
DR. EDWIN ALPHONSE LICHWA II D.O.
Family Medicine
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605
Yolo County (916) 375-6400
COMMUNICARE HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605
Yolo County (916) 403-2900
IRINA BAILS P.A.
Physician Assistant
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605
Yolo County (916) 375-6400
COMMUNICARE HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605
Yolo County (916) 403-2900
MRS. KATHERINE MARY SOLTERO LCSW
Social Worker (Clinical)
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605
Yolo County (916) 403-2900
JASON ROSE PA
Physician Assistant
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605
Yolo County (916) 403-2900
KIMBERLY WARDEN NP
Nurse Practitioner (Family)
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605
Yolo County (916) 403-2900

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 Haejin Kim's NPI number?

The NPI number for Haejin Kim is 1407927908. It was assigned to this individual provider in the NPPES registry on November 13, 2006. The provider is also known as Ms. Haejin Rebecca Jun PA.

Where is Haejin Kim located?

Haejin Kim practices at 500 Jefferson Blvd Ste B180, West Sacramento, CA 95605. The listed phone number is (916) 403-2900.

What is Haejin Kim's specialty?

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

Is Haejin Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Haejin Kim was last updated on April 19, 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.