DR. JERRY J KIM MD
NPI 1912295510
Surgery - Vascular Surgery in Pomona, CA

Q: What is Jerry Kim's NPI number?

The NPI number for Jerry Kim is 1912295510. It was assigned to this individual provider in the NPPES registry on July 16, 2011.

Q: What is Jerry Kim's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Kim was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 16, 2011PECOS EnrolledAccepts Medicare Assignment

350 VINTON AVE STE 202, POMONA, CA 91767(909) 909-1148(909) 363-4954 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jerry J Kim Md NPPES

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

DR. JERRY J KIM MD (NPI 1912295510) is an individual vascular surgery provider in Pomona, California, licensed in California (A124130) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2011).

NPPES Registry Identity

NPI1912295510

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. JERRY J KIMCredential: MD

Location Address350 VINTON AVE STE 202Pomona, CA 91767-3000

Mailing Address350 Vinton Ave Ste 202Pomona, CA 91767-3000 · (909) 973-1148 · Fax (909) 363-4954

Phone(909) 909-1148

Fax(909) 363-4954

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2011

Enumeration DateJuly 16, 2011

Last NPPES UpdateAugust 1, 2023

NPPES CertifiedAugust 1, 2023

✔ NPI 1912295510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in CA · A124130

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License A124130 (CA)

350 VINTON AVE STE 202, Pomona, CA 91767

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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

Dr. Jerry J 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 ID2062630924

PECOS Enrollment IDI20140906000016

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 25

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

322 services177 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

99 services99 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

92 services71 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

76 services55 patients

Insertion of tube into aorta 36200

The insertion of a tube into your aorta is a medical procedure aimed at diagnosing or treating conditions related to your heart and blood vessels. A small, flexible tube is inserted through a blood vessel and gently guided to your aorta. It's generally safe and helps your doctor get valuable information for your treatment.

75 services54 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

75 services54 patients

Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch 36247

This procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. The tube is inserted into the initial third order branch of the artery. This can help doctors diagnose or treat certain conditions by allowing access to these blood vessels.

74 services54 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

67 services48 patients

Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153

This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.

60 services44 patients

Removal of plaque in artery of leg, initial vessel 37229

This procedure involves removing plaque from the initial vessel in your leg. Plaque, a build-up of fat, cholesterol, and other substances, can block blood flow. The removal process, known as an angioplasty, restores healthy blood circulation in your leg.

42 services32 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

41 services41 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

37 services37 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

32 services32 patients

Review by radiologist of abdominal aorta and both leg arteries image 75630

This procedure involves a radiologist examining images of your abdominal aorta and leg arteries. These images help identify any abnormalities or blockages in the arteries, ensuring proper blood flow for optimal health.

27 services23 patients

Removal of plaque in arteries of leg 37225

This procedure, known as atherectomy, involves clearing out plaque buildup in the leg arteries. Plaque can restrict blood flow, causing discomfort and potential health issues. A special device is inserted into the artery to carefully remove the plaque, improving blood circulation.

22 services18 patients

Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access 93985

This procedure involves using ultrasound technology to examine the blood flow in your arteries and veins on both sides of your body. It's crucial for preparing for hemodialysis access, ensuring safe and effective treatment.

19 services19 patients

Relocation of arm vein with connection to arm artery for hemodialysis 36821

This procedure involves moving a vein in your arm and connecting it to an artery. This creates a larger, stronger vein that can be used for hemodialysis, a treatment for kidney disease. It helps clean your blood when your kidneys can't.

18 services18 patients

Removal of plaque and insertion of stents in arteries of leg 37227

This procedure, known as angioplasty, involves a small tube being inserted into your leg artery. The tube has a tiny balloon that inflates to remove plaque blocking the artery. A stent (a small mesh tube) is then placed to keep the artery open, improving blood flow.

18 services17 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

18 services17 patients

Revision of hemodialysis graft 36832

A revision of a hemodialysis graft is a procedure to fix issues with the graft used for dialysis. This can involve clearing blockages or improving blood flow. It helps ensure the graft continues to work effectively for your dialysis treatments.

16 services15 patients

16 services16 patients

Review by radiologist of arm or leg artery image 75710

15 services13 patients

Ultrasonic guidance for blood vessel access 76937

15 services14 patients

Insertion of tube into aorta 36200

14 services13 patients

Removal of tunneled central venous tube 36589

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91767 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

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

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 2

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

JERRY KIM MD INC

Surgery (Vascular Surgery)

350 VINTON AVE STE 202
POMONA, CA 91767

Los Angeles County (909) 973-1148

ALEXANDER LAM MD

Surgery (Vascular Surgery)

350 VINTON AVE STE 202
POMONA, CA 91767

Los Angeles County (909) 973-1148

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 Jerry Kim's NPI number?

The NPI number for Jerry Kim is 1912295510. It was assigned to this individual provider in the NPPES registry on July 16, 2011.

Where is Jerry Kim located?

Jerry Kim practices at 350 Vinton Ave Ste 202, Pomona, CA 91767. The listed phone number is (909) 909-1148.

What is Jerry Kim's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Jerry Kim enrolled in Medicare?

Yes. Jerry 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 Jerry Kim was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.