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JENNIFER EUNYOUNG KIM NP
NPI 1699595926
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since October 11, 2024PECOS Enrolled
3125 N BROADWAY, LOS ANGELES, CA 90031(213) 482-6400(213) 482-6408 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2026, Feb 3, 2026, Oct 11, 2024 (3 updates tracked since 2024).

About Jennifer Eunyoung Kim Np NPPES

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

JENNIFER EUNYOUNG KIM NP (NPI 1699595926) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95036856) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1699595926
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJENNIFER EUNYOUNG KIMCredential: NP
Location Address3125 N BROADWAYLos Angeles, CA 90031-2703
Mailing Address3125 N BroadwayLos Angeles, CA 90031-2703 · (213) 482-6400 · Fax (213) 482-6408
Phone(213) 482-6400
Fax(213) 482-6408
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 11, 2024
Last NPPES UpdateMay 4, 20263 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1699595926 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 · 95036856
Also ListedRegistered NurseTaxonomy 163W00000X · License 758317 (CA)
3125 N BROADWAY, Los Angeles, CA 90031
Open in Google Maps ↗

Secondary Practice Locations 3

Location 111500 W Olympic Blvd Ste 441Los Angeles, CA 90064-1525 · Phone (424) 203-5056
Location 212021 Wilmington Ave Bldg 18Los Angeles, CA 90059-3019 · Phone (424) 454-5400
Location 397 W Bellevue Dr Ste 5Pasadena, CA 91105-2501 · Phone (424) 248-3134

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Eunyoung Kim Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072094812
PECOS Enrollment IDI20260219004317
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 90031 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.

ARIANA GARCIA
Counselor
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (213) 482-6400
MRS. KARLA P. CARBAJAL INTERN
Rehabilitation Practitioner
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 560-8847
EBONIE FONG
Licensed Vocational Nurse
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (213) 482-6400
EDDIE BOQUILLA
Rehabilitation Practitioner
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 222-4591
ORVILLE O DEVLUGT
Rehabilitation Practitioner
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 222-4591
ALEXIS MACKENZIE ORENS LCSW
Social Worker (Clinical)
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (213) 482-6400
TIANA MILLER
Case Manager/Care Coordinator
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (213) 482-6400
SARINA SITY
Social Worker (Clinical)
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (818) 880-7971

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 1699595926. It was assigned to this individual provider in the NPPES registry on October 11, 2024.

Where is Jennifer Kim located?

Jennifer Kim practices at 3125 N Broadway, Los Angeles, CA 90031. The listed phone number is (213) 482-6400.

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Kim was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.