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MR. MIN JOO KIM PA-C, MPH
NPI 1811543143
Physician Assistant - Medical in Buena Park, CA

Active since August 13, 2019PECOS EnrolledAccepts Medicare Assignment
5832 BEACH BLVD UNIT 209, BUENA PARK, CA 90621(714) 676-5541 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2023, Aug 13, 2019 (2 updates tracked since 2019).

About Mr. Min Joo Kim Pa-c, Mph NPPES

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

MR. MIN JOO KIM PA-C, MPH (NPI 1811543143) is an individual medical provider in Buena Park, California and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1811543143
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MIN JOO KIMCredential: PA-C, MPH
Location Address5832 BEACH BLVD UNIT 209Buena Park, CA 90621-5501
Mailing Address5832 Beach Blvd Unit 209Buena Park, CA 90621-5501 · (714) 676-5541
Phone(714) 676-5541
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 13, 2019
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1811543143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
5832 BEACH BLVD UNIT 209, Buena Park, CA 90621
Open in Google Maps ↗

Other Names 1

Other Name (5)Mr. Kevin Kim Pa-c, Mph

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

Mr. Min Joo Kim Pa-c, Mph 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 ID4385177872
PECOS Enrollment IDI20241022004727
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.

Other Providers at the Same Location NPPES 7

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

DR. PHILLIP H LIM D.O., MPH
Pain Medicine (Interventional Pain Medicine)
5832 BEACH BLVD UNIT 209
BUENA PARK, CA 90621
Orange County (714) 676-5541
HYERIN PARK FNP
Nurse Practitioner (Family)
5832 BEACH BLVD UNIT 209
BUENA PARK, CA 90621
Orange County (714) 676-5541
NUVATION PAIN GROUP
Pain Medicine (Interventional Pain Medicine)
5832 BEACH BLVD UNIT 209
BUENA PARK, CA 90621
Orange County (714) 676-5541
NUVATION PAIN GROUP
Durable Medical Equipment & Medical Supplies
5832 BEACH BLVD UNIT 209
BUENA PARK, CA 90621
Orange County (714) 676-5541
SHERLYNN JI HYUN LEE PA-C
Physician Assistant
5832 BEACH BLVD UNIT 209
BUENA PARK, CA 90621
Orange County (714) 676-5541
JEE EUN LEE
Nurse Practitioner (Family)
5832 BEACH BLVD UNIT 209
BUENA PARK, CA 90621
Orange County (714) 676-5541
CHRISTOPHER YIH DO
Pain Medicine (Interventional Pain Medicine)
5832 BEACH BLVD UNIT 209
BUENA PARK, CA 90621
Orange County (714) 676-5541

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 Min Joo Kim's NPI number?

The NPI number for Min Joo Kim is 1811543143. It was assigned to this individual provider in the NPPES registry on August 13, 2019. The provider is also known as Mr. Kevin Kim Pa-C, Mph.

Where is Min Joo Kim located?

Min Joo Kim practices at 5832 Beach Blvd Unit 209, Buena Park, CA 90621. The listed phone number is (714) 676-5541.

What is Min Joo Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Min Joo Kim enrolled in Medicare?

Yes. Min Joo 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 Min Joo Kim was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.