JI AE JANICE KIM FNP-BC
NPI 1598530263
Nurse Practitioner - Family in Los Angeles, CA
About Ji Ae Janice Kim Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JI AE JANICE KIM FNP-BC (NPI 1598530263) is an individual family provider in Los Angeles, California, licensed in California (95027444) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Ji Ae Janice Kim Fnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90006
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 Ji Ae Kim's NPI number?
The NPI number for Ji Ae Kim is 1598530263. It was assigned to this individual provider in the NPPES registry on November 22, 2023.
Where is Ji Ae Kim located?
Ji Ae Kim practices at 966 S Western Ave Ste 101, Los Angeles, CA 90006. The listed phone number is (213) 267-2256.
What is Ji Ae Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ji Ae Kim enrolled in Medicare?
Yes. Ji Ae 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 Ji Ae Kim was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ji Ae Janice Kim, FNP-BC · NPI 1598530263
Family physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since November 22, 2023.
## Identity
- **NPI:** 1598530263 (Entity type: Individual)
- **Enumerated:** November 22, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95027444 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 966 S WESTERN AVE STE 101, Los Angeles, CA 90006-1014
- **Phone:** (213) 267-2256
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** November 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1598530263) · Data from the CMS NPPES public registry.