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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: July 19, 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.

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
SOO WOONG KANG
Internal Medicine
6714 BEACH BLVD
BUENA PARK, CA 90621
Orange County (147) 526-7787

Frequently Asked Questions

What is Jieun Sim's NPI number?

The NPI number assigned to this healthcare provider is 1932601952, enumerated as an "individual" on March 06, 2018.

Where is the provider located?

The provider is located at 6714 BEACH BLVD BUENA PARK, CA 90621 and the phone number is (714) 752-6778.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.