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JIEUN SIM
NPI 1932601952
Nurse Practitioner - Family in Buena Park, CA

Active since March 06, 2018PECOS Enrolled
6714 BEACH BLVD, BUENA PARK, CA 90621(714) 752-6778 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2020, Aug 21, 2018, Mar 6, 2018 (3 updates tracked since 2018).

About Jieun Sim NPPES

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

JIEUN SIM (NPI 1932601952) is an individual family provider in Buena Park, California, licensed in California (NP95008562) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932601952
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJIEUN SIM
Location Address6714 BEACH BLVDBuena Park, CA 90621-3410
Mailing Address11832 Rosecrans Ave # 127Norwalk, CA 90650-4107 · (909) 680-8683
Phone(714) 752-6778
Sole ProprietorNo
Enumeration DateMarch 6, 2018
Last NPPES UpdateSeptember 2, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2020
✔ NPI 1932601952 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 · NP95008562
6714 BEACH BLVD, Buena Park, CA 90621
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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 (PECOS)

Jieun Sim 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 90621 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 3

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

SOO WOONG KANG
Internal Medicine
6714 BEACH BLVD
BUENA PARK, CA 90621
Orange County (147) 526-7787
DR. ROY AJIT NAMBUDRIPAD M.D.
General Practice
6714 BEACH BLVD
BUENA PARK, CA 90621
Orange County (714) 523-8900
DR. DEVI S. NAMBUDRIPAD D.C., L.AC., PH.D.
Chiropractor (Nutrition)
6714 BEACH BLVD
BUENA PARK, CA 90621
Orange County (714) 523-8900

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 Jieun Sim's NPI number?

The NPI number for Jieun Sim is 1932601952. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Where is Jieun Sim located?

Jieun Sim practices at 6714 Beach Blvd, Buena Park, CA 90621. The listed phone number is (714) 752-6778.

What is Jieun Sim's specialty?

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

Is Jieun Sim enrolled in Medicare?

Yes. Jieun Sim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jieun Sim was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.