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JEONG MI KIM R.N., C.R.N.A.
NPI 1568756229
Registered Nurse in Loma Linda, CA

Active since May 30, 2011Accepts Medicare Assignment
11234 ANDERSON ST, LOMA LINDA, CA 92354(866) 436-2098 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jeong Mi Kim R.n., C.r.n.a. NPPES

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

JEONG MI KIM R.N., C.R.N.A. (NPI 1568756229) is an individual registered nurse in Loma Linda, California, licensed in California (660703) and active in the NPI registry since May 2011. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1568756229
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameJEONG MI KIMCredential: R.N., C.R.N.A.
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address475 Linden Ln, Apt 406Media, PA 19063-3670 · (818) 523-7390
Phone(866) 436-2098
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 30, 2011
Last NPPES UpdateDecember 6, 2021
✔ NPI 1568756229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
Licenses✔ Licensed in CA · 660703✔ Licensed in NY · 5349730✔ Licensed in PA · RN596280
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 88733 (PA)
11234 ANDERSON ST, Loma Linda, CA 92354
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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 and accepts Medicare assignment

Jeong Mi Kim R.n., C.r.n.a. 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.

PECOS PAC ID8729247069
PECOS Enrollment IDI20120306000981

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.

ELYSE LAUREN GURAN
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
SAMUEL COOK CHAMBI
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
LUIS MIGUEL OLMEDO TEMICH MD
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
HYUKJE SUNG MD, MA
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
JEFFERSON BRANCH RICHARDS
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4074
JOSEPH UNIS M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8311
MARINA LIU M.D.
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475
JOSEPH M WILKINSON CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475

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 Jeong Mi Kim's NPI number?

The NPI number for Jeong Mi Kim is 1568756229. It was assigned to this individual provider in the NPPES registry on May 30, 2011.

Where is Jeong Mi Kim located?

Jeong Mi Kim practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (866) 436-2098.

What is Jeong Mi Kim's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Jeong Mi Kim enrolled in Medicare?

Yes. Jeong Mi 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.

When was this NPI record last updated?

The NPPES record for Jeong Mi Kim was last updated on December 6, 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.