JENNIFER KIM
NPI 1639718323
Nurse Practitioner - Psychiatric/Mental Health in Torrance, CA

Q: What is Jennifer Kim's NPI number?

The NPI number for Jennifer Kim is 1639718323. It was assigned to this individual provider in the NPPES registry on December 30, 2019.

Q: What is Jennifer Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Kim was last updated on May 31, 2022. 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.

Active since December 30, 2019PECOS EnrolledAccepts Medicare Assignment

1000 W CARSON ST, TORRANCE, CA 90502(424) 306-4386 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jennifer Kim NPPES

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

JENNIFER KIM (NPI 1639718323) is an individual psychiatric/mental health provider in Torrance, California, licensed in California (NP95020590) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639718323

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENNIFER KIM

Location Address1000 W CARSON STTorrance, CA 90502-2059

Mailing Address1000 W Carson StTorrance, CA 90502-2059 · (424) 306-4386

Phone(424) 306-4386

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 30, 2019

Last NPPES UpdateMay 31, 2022

NPPES CertifiedMay 31, 2022

✔ NPI 1639718323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · NP95020590

Also ListedRegistered NurseTaxonomy 163W00000X · License 95155332 (CA)

1000 W CARSON ST, Torrance, CA 90502

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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

Jennifer Kim 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 ID7618352758

PECOS Enrollment IDI20220909002950

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.

Medicare Billing Reassignments

Medicare enrollment records show Jennifer Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Usc Care Medical Group, Inc

17 mi

General Practice

1520 SAN PABLO ST
Los Angeles, CA 90033

Reassigned Medicare billing, California enrollment
2,445 clinicians in this Medicare group

NPI 1902846306 (323) 442-5955

Mellow Medical Inc A Professional Corporation

18 mi

Psychiatry

8235 SANTA MONICA BLVD, SUITE 300
West Hollywood, CA 90046

Reassigned Medicare billing, California enrollment
204 clinicians in this Medicare group

NPI 1407275886 (310) 892-4284

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

114 services40 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

69 services38 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

31 services31 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90502 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

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

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 20

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

MISS BRITTANY IRVINE M.A.

Student in an Organized Health Care Education/Training Program

1000 W CARSON ST
TORRANCE, CA 90502

Los Angeles County (310) 222-2345

DEPAREMENT OF MANTAL HEALTH

Case Management

1000 W CARSON ST
TORRANCE, CA 90502

Los Angeles County (310) 222-1648

DINA M MEZA

Nurse Practitioner (Family)

1000 W CARSON ST, HEAD AND NECK BOX 6
TORRANCE, CA 90502

Los Angeles County (310) 222-2741

MARIA GUADALUPE VALADEZ

Student in an Organized Health Care Education/Training Program

1000 W CARSON ST
TORRANCE, CA 90502

Los Angeles County (559) 789-1327

ESTEBAN COTA

Specialist

1000 W CARSON ST
TORRANCE, CA 90502

Los Angeles County (310) 222-2345

MS. DAWN MARIE TLUSTY RN

Registered Nurse (Infusion Therapy)

1000 W CARSON ST
TORRANCE, CA 90502

Los Angeles County (310) 222-1906

DR. NICOLE MOORE MD

Student in an Organized Health Care Education/Training Program

1000 W CARSON ST
TORRANCE, CA 90502

Los Angeles County (310) 222-2345

KENTON YUJI SAKURAI

Psychiatry & Neurology (Psychiatry)

1000 W CARSON ST
TORRANCE, CA 90502

Los Angeles County (424) 306-4000

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 Kim's NPI number?

The NPI number for Jennifer Kim is 1639718323. It was assigned to this individual provider in the NPPES registry on December 30, 2019.

Where is Jennifer Kim located?

Jennifer Kim practices at 1000 W Carson St, Torrance, CA 90502. The listed phone number is (424) 306-4386.

What is Jennifer Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jennifer Kim enrolled in Medicare?

Yes. Jennifer 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 organizations bill Medicare for Jennifer Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Kim reassigns Medicare benefits to 2 organizations: Usc Care Medical Group, Inc (Los Angeles, CA) and Mellow Medical Inc A Professional Corporation (West Hollywood, CA). Each 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 Jennifer 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 Jennifer Kim was last updated on May 31, 2022. 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.