DR. JAEMIN KO DDS
NPI 1639833544
Dentist in Los Angeles, CA
About Dr. Jaemin Ko Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAEMIN KO DDS (NPI 1639833544) is an individual dentist in Los Angeles, California, licensed in California (108467) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jaemin Ko Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jaemin Ko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
- 1,281 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90027 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
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 Jaemin Ko's NPI number?
The NPI number for Jaemin Ko is 1639833544. It was assigned to this individual provider in the NPPES registry on October 26, 2021.
Where is Jaemin Ko located?
Jaemin Ko practices at 4650 W Sunset Blvd # 116, Los Angeles, CA 90027. The listed phone number is (323) 361-2130.
What is Jaemin Ko's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Jaemin Ko enrolled in Medicare?
Yes. Jaemin Ko is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jaemin Ko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaemin Ko reassigns Medicare benefits to Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). The 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 Jaemin Ko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaemin Ko accept?
Health plans from Humana list Jaemin Ko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jaemin Ko was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Jaemin Ko, DDS · NPI 1639833544
Dentist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since October 26, 2021.
## Identity
- **NPI:** 1639833544 (Entity type: Individual)
- **Enumerated:** October 26, 2021
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 108467 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4650 W SUNSET BLVD # 116, Los Angeles, CA 90027-6062
- **Phone:** (323) 361-2130
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Children's Hospital Los Angeles Medical Group, Inc. (NPI 1265530653, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1639833544) · Data from the CMS NPPES public registry.