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KIM MEDICAL CORPORATION
NPI 1972079903
Otolaryngology in Fullerton, CA

Active since October 17, 2018
1950 SUNNY CREST DR STE 2700, FULLERTON, CA 92835(714) 519-3545(714) 870-0000 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2019, Feb 11, 2019, Oct 17, 2018 (3 updates tracked since 2018).

About Kim Medical Corporation NPPES

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

KIM MEDICAL CORPORATION (NPI 1972079903) is a healthcare organization registered as an otolaryngology in Fullerton, California and active in the NPI registry since October 2018. The organization lists Jason H Kim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972079903
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameKIM MEDICAL CORPORATION
Location Address1950 SUNNY CREST DR STE 2700Fullerton, CA 92835-3645
Mailing Address1950 Sunny Crest Dr Ste 2700Fullerton, CA 92835-3645 · (714) 519-3545 · Fax (714) 870-0000
Phone(714) 519-3545
Fax(714) 870-0000
Organization SubpartNo
Authorized OfficialJason H KimCeo · (714) 447-4100
Enumeration DateOctober 17, 2018
Last NPPES UpdateMarch 11, 20193 updates tracked since enumeration
✔ NPI 1972079903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1950 SUNNY CREST DR STE 2700, Fullerton, CA 92835
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kim Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jason Kim, MD
Otolaryngology
NPI 1225118979
1950 SUNNY CREST DR STE 2700
Fullerton, CA 92835
(714) 519-3545
✔ PECOSSame address
Diana Ahn, AUD
Qualified Audiologist
NPI 1659892149
1640 MARENGO ST STE 100
Los Angeles, CA 90033
(213) 764-2843
✔ Accepts Medicare20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kim Medical Corporation's NPI number?

The NPI number for Kim Medical Corporation is 1972079903. It was assigned to this organization in the NPPES registry on October 17, 2018.

Where is Kim Medical Corporation located?

Kim Medical Corporation is located at 1950 Sunny Crest Dr Ste 2700, Fullerton, CA 92835. The listed phone number is (714) 519-3545.

What is Kim Medical Corporation's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kim Medical Corporation enrolled in Medicare?

Yes. Kim Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kim Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kim Medical Corporation, in Otolaryngology and Qualified Audiologist. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kim Medical Corporation was last updated on March 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.