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JAE JOON KIM MD
NPI 1841264918
Family Medicine in Shafter, CA

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
565 KERN ST, SHAFTER, CA 93263(661) 746-4937(855) 200-2829 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jae Joon Kim Md NPPES

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

JAE JOON KIM MD (NPI 1841264918) is an individual family medicine provider in Shafter, California, licensed in California (A38875) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1971).

NPPES Registry Identity

NPI1841264918
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAE JOON KIMCredential: MD
Location Address565 KERN STShafter, CA 93263-2133
Mailing Address565 Kern StShafter, CA 93263-2133 · (661) 746-4937 · Fax (855) 200-2829
Phone(661) 746-4937
Fax(855) 200-2829
Sole ProprietorYes
Medical School CMSOtherGraduated 1971
Enumeration DateFebruary 15, 2006
Last NPPES UpdateDecember 10, 2025
NPPES CertifiedDecember 10, 2025
✔ NPI 1841264918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A38875
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
565 KERN ST, Shafter, CA 93263
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Other Identifiers 2

Other553819ACA · Medicare Rhc
MedicaidRHM53819FCA

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

Jae Joon Kim Md 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 ID6709900368
PECOS Enrollment IDI20100902001059
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
66 services53 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
29 services15 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
28 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93263 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
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$104.09 typical visit price
range $19.34 – $145.64
Typical copayment $26.02 (range $4.83 – $36.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers15 claims32 services$6.40 avg. paid by Medicare
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973
DME-Wheelchairs · category DD021N
1 supplier12 claims24 services$3.61 avg. paid by Medicare
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches E2201
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$20.04 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$215.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

JAE J. KIM, M.D.
Clinic/Center (Primary Care)
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
MR. JOHNNY VILLANUEVA AGUSTIN NP
Nurse Practitioner
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
DR. CHAN H. PARK M.D.
Family Medicine
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
CARISSA HOLLAND NP-C
Nurse Practitioner (Primary Care)
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
VANGUARD MEDICAL CORPORATION
Clinic/Center (Rural Health)
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
MIRIAM LILIANA VIELMAN
Nurse Practitioner
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
MRS. MONICA RODRIGUEZ APRN NP-C, PHN, RN
Nurse Practitioner (Family)
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
KIMBERLY GONZALEZ NP-C
Nurse Practitioner (Primary Care)
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 459-1000

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 Jae Kim's NPI number?

The NPI number for Jae Kim is 1841264918. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Jae Kim located?

Jae Kim practices at 565 Kern St, Shafter, CA 93263. The listed phone number is (661) 746-4937.

What is Jae Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jae Kim enrolled in Medicare?

Yes. Jae 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 Jae Kim was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.