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JONG HUN KIM MD
NPI 1417477183
Family Medicine - Addiction Medicine in Pomona, CA

Active since June 23, 2017PECOS Enrolled
831 E ARROW HWY, POMONA, CA 91767(909) 828-2338 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 2, 2025, Jun 10, 2024, Aug 5, 2020 and 2 more (5 updates tracked since 2017).

About Jong Hun Kim Md NPPES

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

JONG HUN KIM MD (NPI 1417477183) is an individual addiction medicine provider in Pomona, California, licensed in California (A163105) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417477183
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameJONG HUN KIMCredential: MD
Location Address831 E ARROW HWYPomona, CA 91767-2535
Mailing Address5448 W 118th PlInglewood, CA 90304-1034
Phone(909) 828-2338
Sole ProprietorNo
Enumeration DateJune 23, 2017
Last NPPES UpdateJune 2, 20255 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1417477183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in CA · A163105
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License A163105 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
831 E ARROW HWY, Pomona, CA 91767
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13291 Loma Vista RdVentura, CA 93003-3099 · Phone (805) 652-6000
Location 22150 N Victoria AveOxnard, CA 93036-7791 · Phone (805) 382-6296

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jong Hun Kim Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Jong Hun Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Provider Profile
41 mi
General Practice
14407 HAMLIN ST, STE A
Van Nuys, CA 91401
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1881742047 (818) 904-9008

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91767 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

LIZBETH DIAZ ACSW
Social Worker
831 E ARROW HWY
POMONA, CA 91767
Los Angeles County (909) 624-1233
PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MENTAL HEALTH AND SOCIAL
Community/Behavioral Health
831 E ARROW HWY
POMONA, CA 91767
Los Angeles County (909) 398-4383
ASILI MAISHA WILBOURN LVN
Licensed Vocational Nurse
831 E ARROW HWY
POMONA, CA 91767
Los Angeles County (909) 398-4383
MAYTE MURILLO
Case Manager/Care Coordinator
831 E ARROW HWY
POMONA, CA 91767
Los Angeles County (909) 398-4383
KELLI HUMPHREYS
Day Training/Habilitation Specialist
831 E ARROW HWY
POMONA, CA 91767
Los Angeles County (909) 398-4383
BRITTNEY LEE LCSW
Social Worker (Clinical)
831 E ARROW HWY
POMONA, CA 91767
Los Angeles County (909) 398-4383
ADAM AZULAY
Counselor (Mental Health)
831 E ARROW HWY
POMONA, CA 91767
Los Angeles County (909) 624-1233
ELVIA VILLALOBOS RADT
Counselor (Addiction (Substance Use Disorder))
831 E ARROW HWY
POMONA, CA 91767
Los Angeles County (909) 624-1233

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 Jong Hun Kim's NPI number?

The NPI number for Jong Hun Kim is 1417477183. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Where is Jong Hun Kim located?

Jong Hun Kim practices at 831 E Arrow Hwy, Pomona, CA 91767. The listed phone number is (909) 828-2338.

What is Jong Hun Kim's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Jong Hun Kim enrolled in Medicare?

Yes. Jong Hun Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jong Hun Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jong Hun Kim reassigns Medicare benefits to (Van Nuys, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jong Hun Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jong Hun Kim was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.