DR. JEFFREY SUNG JOO KIM M.D.
NPI 1457694705
Student in an Organized Health Care Education/Training Program in San Francisco, CA
About Dr. Jeffrey Sung Joo Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFREY SUNG JOO KIM M.D. (NPI 1457694705) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jeffrey Sung Joo Kim M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Jeffrey Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oxnard, CA 93036
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94143
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 Jeffrey Kim's NPI number?
The NPI number for Jeffrey Kim is 1457694705. It was assigned to this individual provider in the NPPES registry on April 4, 2013.
Where is Jeffrey Kim located?
Jeffrey Kim practices at 513 Parnassus Ave # 436 Ucsf Anesthesia Residency Program, San Francisco, CA 94143. The listed phone number is (415) 514-3781.
What is Jeffrey Kim's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jeffrey Kim enrolled in Medicare?
Yes. Jeffrey 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.
Which organization bills Medicare for Jeffrey Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Oxnard, 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 Jeffrey 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 Jeffrey Kim was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Jeffrey Sung Joo Kim, M.D. · NPI 1457694705
Student in an Organized Health Care Education/Training Program provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since April 4, 2013.
## Identity
- **NPI:** 1457694705 (Entity type: Individual)
- **Enumerated:** April 4, 2013
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 513 PARNASSUS AVE # 436, UCSF ANESTHESIA RESIDENCY PROGRAM, San Francisco, CA 94143-2205
- **Phone:** (415) 514-3781
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1275756652, Oxnard, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1457694705) · Data from the CMS NPPES public registry.