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JINHO KIM
NPI 1770282402
Nurse Practitioner - Acute Care in Los Angeles, CA

Active since March 02, 2023PECOS EnrolledAccepts Medicare Assignment
1245 WILSHIRE BLVD STE 406, LOS ANGELES, CA 90017(213) 372-5245 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2024, Mar 2, 2023 (2 updates tracked since 2023).

About Jinho Kim NPPES

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

JINHO KIM (NPI 1770282402) is an individual acute care provider in Los Angeles, California, licensed in California (95023888) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1770282402
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJINHO KIM
Location Address1245 WILSHIRE BLVD STE 406Los Angeles, CA 90017-4804
Mailing Address28404 Vista Del Rio DrValencia, CA 91354-3080 · (931) 551-6537
Phone(213) 372-5245
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 2, 2023
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1770282402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95023888
1245 WILSHIRE BLVD STE 406, Los Angeles, CA 90017
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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 and accepts Medicare assignment

Jinho 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 ID3375052889
PECOS Enrollment IDI20250604003228
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 90017 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

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

PAUL LEE MSN, FNP-C
Nurse Practitioner
1245 WILSHIRE BLVD STE 406
LOS ANGELES, CA 90017
Los Angeles County (213) 372-5245

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 Jinho Kim's NPI number?

The NPI number for Jinho Kim is 1770282402. It was assigned to this individual provider in the NPPES registry on March 2, 2023.

Where is Jinho Kim located?

Jinho Kim practices at 1245 Wilshire Blvd Ste 406, Los Angeles, CA 90017. The listed phone number is (213) 372-5245.

What is Jinho Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jinho Kim enrolled in Medicare?

Yes. Jinho 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.

When was this NPI record last updated?

The NPPES record for Jinho Kim was last updated on December 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.