JONATHAN IM
NPI 1932801131
Student in an Organized Health Care Education/Training Program in Riverside, CA
About Jonathan Im NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN IM (NPI 1932801131) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Peacehealth St John Medical Center, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jonathan Im 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.
Medicare Billing Reassignment
Medicare enrollment records show Jonathan Im reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Longview, WA 98632
- Reassigned Medicare billing, Washington enrollment
- 106 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Peacehealth St John Medical Center
Acute Care Hospitals · Longview, WAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
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 Jonathan Im's NPI number?
The NPI number for Jonathan Im is 1932801131. It was assigned to this individual provider in the NPPES registry on March 20, 2023.
Where is Jonathan Im located?
Jonathan Im practices at 4445 Magnolia Ave, Riverside, CA 92501. The listed phone number is (951) 788-3000.
What is Jonathan Im's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jonathan Im enrolled in Medicare?
Yes. Jonathan Im 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.
Which organization bills Medicare for Jonathan Im's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Im reassigns Medicare benefits to Cep America LLC (Longview, WA). 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 Jonathan Im's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jonathan Im affiliated with any hospitals?
According to CMS data, Jonathan Im is affiliated with Peacehealth St John Medical Center.
When was this NPI record last updated?
The NPPES record for Jonathan Im was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.
# Jonathan Im · NPI 1932801131
Student in an Organized Health Care Education/Training Program provider in Riverside, California. Individual provider, active in the CMS NPPES registry since March 20, 2023.
## Identity
- **NPI:** 1932801131 (Entity type: Individual)
- **Enumerated:** March 20, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4445 MAGNOLIA AVE, Riverside, CA 92501-4135
- **Phone:** (951) 788-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cep America LLC (NPI 1548920598, Longview, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1932801131) · Data from the CMS NPPES public registry.