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JIHYE KIM
NPI 1912240656
Nurse Practitioner - Family in Los Angeles, CA

Active since April 01, 2013PECOS Enrolled
400 W 30TH ST, LOS ANGELES, CA 90007(213) 284-3200 Get Directions Write a Review

NPPES record last updated: May 2, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jihye Kim NPPES

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

JIHYE KIM (NPI 1912240656) is an individual family provider in Los Angeles, California, licensed in California (22810) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1912240656
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJIHYE KIM
Location Address400 W 30TH STLos Angeles, CA 90007-3320
Mailing Address400 W 30th StLos Angeles, CA 90007-3320 · (213) 284-3200
Phone(213) 284-3200
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 1, 2013
Last NPPES UpdateMay 2, 2016
✔ NPI 1912240656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 22810
400 W 30TH ST, Los Angeles, CA 90007
Open in Google Maps ↗

Other Names 1

Other Name (5)Mrs. Grace Kim

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jihye Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648730101
PECOS Enrollment IDI20260903001728
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.

Medicare Billing Reassignment

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

Telehealth Specialty Medical Group
365 mi
Emergency Medicine
3400 DOUGLAS BLVD STE 225
Roseville, CA 95661
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Telemedicine Group PC
  • 205 clinicians in this Medicare group
NPI 1326338237 (916) 740-3721

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90007 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

DIANA BENITEZ WHNP, CNM
Nurse Practitioner (Women's Health)
400 W 30TH ST
LOS ANGELES, CA 90007
Los Angeles County (213) 284-3200
MARY GATTER M.D.
Obstetrics & Gynecology (Gynecology)
400 W 30TH ST
LOS ANGELES, CA 90007
Los Angeles County (213) 284-3211
CHELSEA DAWSON R.N.
Registered Nurse
400 W 30TH ST
LOS ANGELES, CA 90007
Los Angeles County (800) 576-5544
BIVIANA CALLEJA LAGUNAS LCSW
Social Worker (Clinical)
400 W 30TH ST
LOS ANGELES, CA 90007
Los Angeles County (323) 891-6417
MS. HEATHER MARIE ONNIGIAN PA-C
Physician Assistant
400 W 30TH ST
LOS ANGELES, CA 90007
Los Angeles County (213) 284-3200
MS. FABIOLA SILIS RN
Registered Nurse
400 W 30TH ST
LOS ANGELES, CA 90007
Los Angeles County (213) 284-3200
ROSA M GALLARDO PA
Physician Assistant
400 W 30TH ST
LOS ANGELES, CA 90007
Los Angeles County (323) 284-3119
KATHLEEN MAHAN NP
Nurse Practitioner
400 W 30TH ST
LOS ANGELES, CA 90007
Los Angeles County (213) 284-3245

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 Jihye Kim's NPI number?

The NPI number for Jihye Kim is 1912240656. It was assigned to this individual provider in the NPPES registry on April 1, 2013. The provider is also known as Mrs. Grace Kim.

Where is Jihye Kim located?

Jihye Kim practices at 400 W 30th St, Los Angeles, CA 90007. The listed phone number is (213) 284-3200.

What is Jihye Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jihye Kim enrolled in Medicare?

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

Which organization bills Medicare for Jihye Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jihye Kim reassigns Medicare benefits to Telehealth Specialty Medical Group (Roseville, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jihye Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jihye Kim was last updated on May 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.