1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JASON D. KIM PA-C
NPI 1770468431
Physician Assistant in Los Angeles, CA

Active since August 11, 2025PECOS Enrolled
1700 E CESAR E CHAVEZ AVE STE 2500, LOS ANGELES, CA 90033(855) 522-3682 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2026, Aug 12, 2025 (2 updates tracked since 2025).

About Jason D. Kim Pa-c NPPES

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

JASON D. KIM PA-C (NPI 1770468431) is an individual physician assistant in Los Angeles, California, licensed in California (66917) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Mercer University School Of Medicine (2025).

NPPES Registry Identity

NPI1770468431
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJASON D. KIMCredential: PA-C
Location Address1700 E CESAR E CHAVEZ AVE STE 2500Los Angeles, CA 90033-2434
Mailing Address1700 E Cesar E Chavez Ave Ste 2500Los Angeles, CA 90033-2434
Phone(855) 522-3682
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2025
Enumeration DateAugust 11, 2025
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1770468431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 66917
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1700 E CESAR E CHAVEZ AVE STE 2500, Los Angeles, CA 90033
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason D. Kim Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698262277
PECOS Enrollment IDI20251016002783
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 90033 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 15

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

GEOFFREY B TRENKLE D.O.
Otolaryngology (Facial Plastic Surgery)
1700 E CESAR E CHAVEZ AVE STE 2500
LOS ANGELES, CA 90033
Los Angeles County (323) 268-6731
SARINA SONNY PATEL
Otolaryngology
1700 E CESAR E CHAVEZ AVE STE 2500
LOS ANGELES, CA 90033
Los Angeles County (963) 232-3306
CHRISTIAN ROMANO SANTOS PA-C
Physician Assistant
1700 E CESAR E CHAVEZ AVE STE 2500
LOS ANGELES, CA 90033
Los Angeles County (424) 248-5814
CHRISTOPHER VILLANUEVA DALATEN PA-C
Physician Assistant
1700 E CESAR E CHAVEZ AVE STE 2500
LOS ANGELES, CA 90033
Los Angeles County (323) 268-6731
SOROUSH FARNOOSH MD
Otolaryngology
1700 E CESAR E CHAVEZ AVE STE 2500
LOS ANGELES, CA 90033
Los Angeles County (323) 268-6731
JACQUELINE SHEILA KENG PA-C
Physician Assistant
1700 E CESAR E CHAVEZ AVE STE 2500
LOS ANGELES, CA 90033
Los Angeles County (323) 306-9632
JOY YAMASAKI NP
Nurse Practitioner (Family)
1700 E CESAR E CHAVEZ AVE STE 2500
LOS ANGELES, CA 90033
Los Angeles County (323) 306-9632
AHMED MAKI DO
Otolaryngology (Facial Plastic Surgery)
1700 E CESAR E CHAVEZ AVE STE 2500
LOS ANGELES, CA 90033
Los Angeles County (323) 268-6731

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 Jason Kim's NPI number?

The NPI number for Jason Kim is 1770468431. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Jason Kim located?

Jason Kim practices at 1700 E Cesar E Chavez Ave Ste 2500, Los Angeles, CA 90033. The listed phone number is (855) 522-3682.

What is Jason Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jason Kim enrolled in Medicare?

Yes. Jason Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jason Kim was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.