JENNIFER K. KIM MD
NPI 1891996773
Radiology - Body Imaging in Fontana, CA
About Jennifer K. Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER K. KIM MD (NPI 1891996773) is an individual body imaging provider in Fontana, California, licensed in California (A77203) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer K. Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FONTANA, CA 92335
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 Jennifer Kim's NPI number?
The NPI number for Jennifer Kim is 1891996773. It was assigned to this individual provider in the NPPES registry on May 30, 2007.
Where is Jennifer Kim located?
Jennifer Kim practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 427-3910.
What is Jennifer Kim's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.
Is Jennifer Kim enrolled in Medicare?
Yes. Jennifer Kim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jennifer Kim was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jennifer K. Kim, MD · NPI 1891996773
Body Imaging physician in Fontana, California. Individual provider, active in the CMS NPPES registry since May 30, 2007.
## Identity
- **NPI:** 1891996773 (Entity type: Individual)
- **Enumerated:** May 30, 2007
- **Primary specialty:** Radiology - Body Imaging · taxonomy 2085B0100X
- **State license:** A77203 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9961 SIERRA AVE, Fontana, CA 92335-6720
- **Phone:** (909) 427-3910
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1891996773) · Data from the CMS NPPES public registry.