JINHO KIM
NPI 1770282402
Nurse Practitioner - Acute Care in Los Angeles, CA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Jinho Kim 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
- 13,921 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 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Jinho Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jinho Kim reassigns Medicare benefits to Southern California Permanente Medical Group (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 Jinho Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jinho Kim was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Jinho Kim · NPI 1770282402
Acute Care physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 2, 2023.
## Identity
- **NPI:** 1770282402 (Entity type: Individual)
- **Enumerated:** March 2, 2023
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95023888 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1245 WILSHIRE BLVD STE 406, Los Angeles, CA 90017-4804
- **Phone:** (213) 372-5245
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1134151657, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1770282402) · Data from the CMS NPPES public registry.