JENNIFER SHIN YIM PA-C
NPI 1588907802
Physician Assistant - Medical in Ontario, CA

Active since April 04, 2013PECOS EnrolledAccepts Medicare Assignment
1650 S EUCLID AVE, ONTARIO, CA 91762(909) 391-4138 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2021, Jan 30, 2019 (2 updates tracked since 2019).

About Jennifer Shin Yim Pa-c NPPES

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

JENNIFER SHIN YIM PA-C (NPI 1588907802) is an individual medical provider in Ontario, California, licensed in California (PA22803) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Cucamonga, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1588907802
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER SHIN YIMCredential: PA-C
Location Address1650 S EUCLID AVEOntario, CA 91762-5824
Mailing Address1650 S Euclid AveOntario, CA 91762-5824 · (909) 391-4138 · Fax (909) 391-4395
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 4, 2013
Last NPPES UpdateFebruary 12, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2021
NPI 1588907802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA22803
1650 S EUCLID AVE, Ontario, CA 91762

Secondary Practice Location 1

Location 18239 Rochester Ave, Suite #120Rancho Cucamonga, CA 91730-0714 · Phone (909) 941-0266 · Fax (909) 941-0569

Other Identifiers 1

Other22803CA · Physician Assistant License

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

Jennifer Shin Yim Pa-c 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 ID2769600832
PECOS Enrollment IDI20140903000099
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.

Other Providers at the Same Location NPPES 3

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

Internal Medicine
1650 S EUCLID AVE
ONTARIO, CA 91762
Internal Medicine
1650 S EUCLID AVE
ONTARIO, CA 91762
Family Medicine
1650 S EUCLID AVE
ONTARIO, CA 91762

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 Jennifer Yim's NPI number?

The NPI number for Jennifer Yim is 1588907802. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Jennifer Yim located?

Jennifer Yim practices at 1650 S Euclid Ave, Ontario, CA 91762. The listed phone number is (909) 391-4138.

What is Jennifer Yim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jennifer Yim enrolled in Medicare?

Yes. Jennifer Yim 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 Jennifer Yim was last updated on February 12, 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.