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JENNIFER SOOYOUNG KIM PA-C
NPI 1801510755
Physician Assistant in Laguna Hills, CA

Active since October 03, 2022PECOS EnrolledAccepts Medicare Assignment
23961 CALLE DE LA MAGDALENA STE 500, LAGUNA HILLS, CA 92653(949) 855-1101(949) 289-9171 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2024, Oct 3, 2022 (2 updates tracked since 2022).

About Jennifer Sooyoung Kim Pa-c NPPES

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

JENNIFER SOOYOUNG KIM PA-C (NPI 1801510755) is an individual physician assistant in Laguna Hills, California, licensed in California (63750) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1801510755
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER SOOYOUNG KIMCredential: PA-C
Location Address23961 CALLE DE LA MAGDALENA STE 500Laguna Hills, CA 92653-7622
Mailing Address23961 Calle De La Magdalena Ste 500Laguna Hills, CA 92653-7622 · (949) 855-1101 · Fax (949) 289-9171
Phone(949) 855-1101
Fax(949) 289-9171
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 3, 2022
Last NPPES UpdateOctober 15, 20252 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
✔ NPI 1801510755 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 · 63750
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.
23961 CALLE DE LA MAGDALENA STE 500, Laguna Hills, CA 92653
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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

Jennifer Sooyoung Kim Pa-c 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 ID345682639
PECOS Enrollment IDI20240531003308
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 92653 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 20

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

POONE SHOURESHI M.D.
Urology (Urogynecology and Reconstructive Pelvic Surgery)
23961 CALLE DE LA MAGDALENA STE 500
LAGUNA HILLS, CA 92653
Orange County (949) 855-1101
LEAH Y NAKAMURA M.D.
Urology (Urogynecology and Reconstructive Pelvic Surgery)
23961 CALLE DE LA MAGDALENA STE 500
LAGUNA HILLS, CA 92653
Orange County (949) 855-1011
LAUREN MIEKO LUM
Physician Assistant
23961 CALLE DE LA MAGDALENA STE 500
LAGUNA HILLS, CA 92653
Orange County (949) 855-1101
DR. DANIEL JIANG MD
Urology
23961 CALLE DE LA MAGDALENA STE 500
LAGUNA HILLS, CA 92653
Orange County (949) 855-1101
DR. AARON SPITZ M.D.
Urology
23961 CALLE DE LA MAGDALENA STE 500
LAGUNA HILLS, CA 92653
Orange County (949) 855-1101
ORANGE COUNTY UROLOGY ASSOCIATES, INC. A MEDICAL GROUP
Urology
23961 CALLE DE LA MAGDALENA STE 500
LAGUNA HILLS, CA 92653
Orange County (949) 855-1101
DR. DANIEL SU M.D.
Urology
23961 CALLE DE LA MAGDALENA STE 500
LAGUNA HILLS, CA 92653
Orange County (949) 855-1101
ASHLEY SWANSON NP
Nurse Practitioner
23961 CALLE DE LA MAGDALENA STE 500
LAGUNA HILLS, CA 92653
Orange County (949) 855-1101

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 1801510755. It was assigned to this individual provider in the NPPES registry on October 3, 2022.

Where is Jennifer Kim located?

Jennifer Kim practices at 23961 Calle De La Magdalena Ste 500, Laguna Hills, CA 92653. The listed phone number is (949) 855-1101.

What is Jennifer Kim's specialty?

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

Is Jennifer Kim enrolled in Medicare?

Yes. Jennifer 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 Jennifer Kim was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.