DR. JIN HEE KWON D.C.
NPI 1891798674
Chiropractor in Victorville, CA

Q: What is Jin Kwon's NPI number?

The NPI number for Jin Kwon is 1891798674. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Q: What is Jin Kwon's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jin Kwon was last updated on March 2, 2026. 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.

Active since May 24, 2005Accepts Medicare Assignment

12640 HESPERIA RD STE D, VICTORVILLE, CA 92395(760) 684-4143(760) 684-8111 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Jin Hee Kwon D.c. NPPES

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

DR. JIN HEE KWON D.C. (NPI 1891798674) is an individual chiropractor in Victorville, California, licensed in California (DC29535) and active in the NPI registry since May 2005. She is a graduate of Cleveland Chiropractic College - Los Angeles (2004).

NPPES Registry Identity

NPI1891798674

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. JIN HEE KWONCredential: D.C.

Location Address12640 HESPERIA RD STE DVictorville, CA 92395-7753

Mailing Address12640 Hesperia Rd Ste DVictorville, CA 92395-7753 · (760) 684-4143 · Fax (760) 684-8111

Phone(760) 684-4143

Fax(760) 684-8111

Sole ProprietorYes

Medical School CMSCleveland Chiropractic College - Los AngelesGraduated 2004

Enumeration DateMay 24, 2005

Last NPPES UpdateMarch 2, 2026

NPPES CertifiedMarch 2, 2026

✔ NPI 1891798674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC29535

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

12640 HESPERIA RD STE D, Victorville, CA 92395

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Other Identifiers 1

OtherDC29535CA · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jin Hee Kwon D.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 ID8628020674

PECOS Enrollment IDI20050217000562

Medicare Billing Reassignment

Medicare enrollment records show Jin Kwon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tobias Moeller-Bertram MD Corporation

70 mi

Pain Medicine

36101 BOB HOPE DR STE A
Rancho Mirage, CA 92270

Reassigned Medicare billing, California enrollment
75 clinicians in this Medicare group

NPI 1922440684 (760) 321-1315

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KIA NICHELLE

Marriage & Family Therapist