MR. JIN TAEK KIM JIN KIM PA-C
NPI 1952447625
Physician Assistant - Surgical in San Francisco, CA
About Mr. Jin Taek Kim Jin Kim Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JIN TAEK KIM JIN KIM PA-C (NPI 1952447625) is an individual surgical provider in San Francisco, California, licensed in California (PA18112) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Mr. Jin Taek Kim Jin Kim Pa-c 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.
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.
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
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 Jin Kim's NPI number?
The NPI number for Jin Kim is 1952447625. It was assigned to this individual provider in the NPPES registry on January 30, 2007. The provider is also known as Mr. Thomas Kim.
Where is Jin Kim located?
Jin Kim practices at 400 Parnassus Ave, San Francisco, CA 94143. The listed phone number is (415) 353-2954.
What is Jin Kim's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Jin Kim enrolled in Medicare?
Yes. Jin 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 Jin Kim was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Jin Taek Kim, JIN KIM PA-C · NPI 1952447625
Surgical physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since January 30, 2007.
## Identity
- **NPI:** 1952447625 (Entity type: Individual)
- **Enumerated:** January 30, 2007
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA18112 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 400 PARNASSUS AVE, San Francisco, CA 94143-2202
- **Phone:** (415) 353-2954
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1952447625) · Data from the CMS NPPES public registry.