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MRS. HAE JIN KIM PA-C
NPI 1528189339
Physician Assistant in Los Angeles, CA

Active since April 02, 2007PECOS Enrolled
2405 W 8TH ST STE 105, LOS ANGELES, CA 90057(213) 388-2229(213) 388-1507 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Hae Jin Kim Pa-c NPPES

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

MRS. HAE JIN KIM PA-C (NPI 1528189339) is an individual physician assistant in Los Angeles, California, licensed in California (19696) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528189339
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. HAE JIN KIMCredential: PA-C
Location Address2405 W 8TH ST STE 105Los Angeles, CA 90057-5016
Mailing Address2405 W 8th St Ste 105Los Angeles, CA 90057-5016 · (213) 388-2229 · Fax (213) 388-1507
Phone(213) 388-2229
Fax(213) 388-1507
Sole ProprietorNo
Enumeration DateApril 2, 2007
Last NPPES UpdateJune 2, 2021
NPPES CertifiedJune 2, 2021
✔ NPI 1528189339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CA · 19696✔ Licensed in CT · 001862
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.
2405 W 8TH ST STE 105, Los Angeles, CA 90057
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Hae Jin 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 90057 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.

Other Providers at the Same Location NPPES 2

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

LORAINE V. DIEGO, M.D.
Obstetrics & Gynecology
2405 W 8TH ST STE 105
LOS ANGELES, CA 90057
Los Angeles County (213) 388-2232
SAVY VEN PAC
Physician Assistant (Medical)
2405 W 8TH ST STE 105
LOS ANGELES, CA 90057
Los Angeles County (909) 971-9334

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 Hae Kim's NPI number?

The NPI number for Hae Kim is 1528189339. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Hae Kim located?

Hae Kim practices at 2405 W 8th St Ste 105, Los Angeles, CA 90057. The listed phone number is (213) 388-2229.

What is Hae Kim's specialty?

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

Is Hae Kim enrolled in Medicare?

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

What insurance does Hae Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Hae Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hae Kim was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.