MR. JOHN H. KIM PA-C
NPI 1821150269
Physician Assistant - Medical in Larkspur, CA

Q: What is John Kim's NPI number?

The NPI number for John Kim is 1821150269. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Q: What is John Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Kim was last updated on February 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment

18 BON AIR RD, LARKSPUR, CA 94939(415) 927-5300(415) 927-6860 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2022, Dec 8, 2021 (2 updates tracked since 2021).

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About Mr. John H. Kim Pa-c NPPES

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

MR. JOHN H. KIM PA-C (NPI 1821150269) is an individual medical provider in Larkspur, California, licensed in California (PA17379) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1821150269

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. JOHN H. KIMCredential: PA-C

Location Address18 BON AIR RDLarkspur, CA 94939-1123

Mailing Address18 Bon Air RdLarkspur, CA 94939-1123 · (415) 927-5300 · Fax (415) 927-6860

Phone(415) 927-5300

Fax(415) 927-6860

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateDecember 14, 2006

Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration

✔ NPI 1821150269 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

License✔ Licensed in CA · PA17379

18 BON AIR RD, Larkspur, CA 94939

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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

Mr. John H. 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 ID4587600044

PECOS Enrollment IDI20050706000706

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.

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Other Providers at the Same Location NPPES 14

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

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