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MRS. JEONGSIM KIM IZADI RN
NPI 1639776933
Nurse Practitioner in Union City, CA

Active since October 08, 2020PECOS Enrolled
2814 MONTAIR PL, UNION CITY, CA 94587(510) 907-0014 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2021, Oct 8, 2020 (2 updates tracked since 2020).

About Mrs. Jeongsim Kim Izadi Rn NPPES

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

MRS. JEONGSIM KIM IZADI RN (NPI 1639776933) is an individual nurse practitioner in Union City, California, licensed in California (95016945) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639776933
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JEONGSIM KIM IZADICredential: RN
Location Address2814 MONTAIR PLUnion City, CA 94587-1680
Mailing Address2814 Montair PlUnion City, CA 94587-1680 · (510) 907-0014
Phone(510) 907-0014
Sole ProprietorYes
Enumeration DateOctober 8, 2020
Last NPPES UpdateAugust 20, 20212 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
✔ NPI 1639776933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95016945
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · HospiceTaxonomy 163WH1000X · License D2102705 (CA)
2814 MONTAIR PL, Union City, CA 94587
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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 (PECOS)

Mrs. Jeongsim Kim Izadi Rn 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 94587 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Jeongsim Izadi's NPI number?

The NPI number for Jeongsim Izadi is 1639776933. It was assigned to this individual provider in the NPPES registry on October 8, 2020.

Where is Jeongsim Izadi located?

Jeongsim Izadi practices at 2814 Montair Pl, Union City, CA 94587. The listed phone number is (510) 907-0014.

What is Jeongsim Izadi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jeongsim Izadi enrolled in Medicare?

Yes. Jeongsim Izadi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeongsim Izadi was last updated on August 20, 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.