JI AH KIM CRNA
NPI 1770097362
Nurse Anesthetist, Certified Registered in Los Angeles, CA
About Ji Ah Kim Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JI AH KIM CRNA (NPI 1770097362) is an individual nurse anesthetist, certified registered in Los Angeles, California, licensed in California (95001716) and active in the NPI registry since November 2017. She maintains a secondary practice location in Orange and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
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
Ji Ah Kim Crna 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.
Medicare Billing Reassignments
7Medicare enrollment records show Ji Kim reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- 86 clinicians in this Medicare group
Torrance, CA 90505
- Reassigned Medicare billing, California enrollment
- 51 clinicians in this Medicare group
Glendora, CA 91740
- Reassigned Medicare billing, California enrollment
- 43 clinicians in this Medicare group
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 420 clinicians in this Medicare group
Leesburg, VA 20176
- Reassigned Medicare billing, Virginia and District of Columbia enrollments
- Also billed through NPI 1417994872 (District of Columbia)
- 1,217 clinicians in this Medicare group
Reston, VA 20190
- Reassigned Medicare billing, District of Columbia enrollment
- 95 clinicians in this Medicare group
Vienna, VA 22180
- Reassigned Medicare billing, Virginia and District of Columbia enrollments
- Also billed through NPI 1669511051 (District of Columbia)
- 2,379 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ji Kim's NPI number?
The NPI number for Ji Kim is 1770097362. It was assigned to this individual provider in the NPPES registry on November 20, 2017.
Where is Ji Kim located?
Ji Kim practices at 1300 N Vermont Ave, Los Angeles, CA 90027. The listed phone number is (213) 413-3000.
What is Ji Kim's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Ji Kim enrolled in Medicare?
Yes. Ji 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 Ji Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ji Kim reassigns Medicare benefits to 7 organizations: Hp Anesthesia Inc (Los Angeles, CA), Amsurg South Bay Anesthesia LP (Torrance, CA), Glendora Anesthesia Associates LP (Glendora, CA), Regents Of The University Of (Orange, CA), American Anesthesiology Of Virginia, PC (Leesburg, VA) and 2 more organizations, listed in the Medicare section above. 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 Ji Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ji Kim accept?
Health plans from Oscar Health and Oscar Insurance Company list Ji Kim 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 Ji Kim was last updated on January 24, 2024. 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 Ah Kim, CRNA · NPI 1770097362
Nurse Anesthetist, Certified Registered physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since November 20, 2017.
## Identity
- **NPI:** 1770097362 (Entity type: Individual)
- **Enumerated:** November 20, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 95001716 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1300 N VERMONT AVE, Los Angeles, CA 90027-6098
- **Phone:** (213) 413-3000 · **Fax:** (323) 666-2939
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Hp Anesthesia Inc (NPI 1992133474, Los Angeles, CA); Amsurg South Bay Anesthesia LP (NPI 1811230022, Torrance, CA); Glendora Anesthesia Associates LP (NPI 1750748331, Glendora, CA); Regents Of The University Of (NPI 1487602546, Orange, CA); American Anesthesiology Of Virginia, PC (NPI 1053675199, Leesburg, VA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 24, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1770097362) · Data from the CMS NPPES public registry.