JI SOO KIM PA
NPI 1801580816
Physician Assistant in Los Angeles, CA

Q: What is Ji Soo Kim's NPI number?

The NPI number for Ji Soo Kim is 1801580816. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Q: What is Ji Soo Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ji Soo Kim was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 05, 2023PECOS Enrolled

1700 E CESAR E CHAVEZ AVE STE 2500, LOS ANGELES, CA 90033(323) 268-6731 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ji Soo Kim Pa NPPES

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

JI SOO KIM PA (NPI 1801580816) is an individual physician assistant in Los Angeles, California and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801580816

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJI SOO KIMCredential: PA

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 · (323) 268-6731

Phone(323) 268-6731

Sole ProprietorNo

Enumeration DateJune 5, 2023

NPPES CertifiedJune 5, 2023

✔ NPI 1801580816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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

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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 (PECOS)

Ji Soo Kim Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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