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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACALYNN SHUTING KIM DO
NPI 1891483327
Family Medicine in Elk Grove, CA

Active since April 24, 2023PECOS Enrolled
8170 LAGUNA BLVD STE 215, ELK GROVE, CA 95758(916) 691-5900(916) 691-5979 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jacalynn Shuting Kim Do NPPES

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

JACALYNN SHUTING KIM DO (NPI 1891483327) is an individual family medicine provider in Elk Grove, California, licensed in California (20A25217) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Billings.

NPPES Registry Identity

NPI1891483327
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJACALYNN SHUTING KIMCredential: DO
Location Address8170 LAGUNA BLVD STE 215Elk Grove, CA 95758-7902
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Phone(916) 691-5900
Fax(916) 691-5979
Sole ProprietorNo
Enumeration DateApril 24, 2023
Last NPPES UpdateSeptember 15, 2026
NPPES CertifiedSeptember 15, 2026
✔ NPI 1891483327 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 · 20A25217
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.
8170 LAGUNA BLVD STE 215, Elk Grove, CA 95758
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Other Names 1

Former Name (1)Jacalynn Goetz Do

Secondary Practice Location 1

Location 1123 S 27th StBillings, MT 59101-4227 · Phone (406) 247-3350 · Fax (406) 247-3389

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacalynn Shuting Kim Do 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 95758 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Other Providers at the Same Location NPPES 4

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

JONATHAN KIM DO
Family Medicine
8170 LAGUNA BLVD STE 215
ELK GROVE, CA 95758
Sacramento County (916) 691-5900
ELIZABETH TALLEY M.D.
Family Medicine
8170 LAGUNA BLVD STE 215
ELK GROVE, CA 95758
Sacramento County (916) 691-5900
HELENE THUY-HA NGUYEN D.O.
Family Medicine
8170 LAGUNA BLVD STE 215
ELK GROVE, CA 95758
Sacramento County (916) 691-5900
LEE NGUYEN MD
Anesthesiology (Pain Medicine)
8170 LAGUNA BLVD STE 215
ELK GROVE, CA 95758
Sacramento County (916) 454-6850

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 Jacalynn Kim's NPI number?

The NPI number for Jacalynn Kim is 1891483327. It was assigned to this individual provider in the NPPES registry on April 24, 2023. The provider is also known as Jacalynn Goetz Do.

Where is Jacalynn Kim located?

Jacalynn Kim practices at 8170 Laguna Blvd Ste 215, Elk Grove, CA 95758. The listed phone number is (916) 691-5900.

What is Jacalynn Kim's specialty?

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

Is Jacalynn Kim enrolled in Medicare?

Yes. Jacalynn Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacalynn Kim was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.