DR. JIMMY HOM MD, PHD
NPI 1972177160
Anesthesiology in San Diego, CA

Q: What is Jimmy Hom's NPI number?

The NPI number for Jimmy Hom is 1972177160. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Q: What is Jimmy Hom's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jimmy Hom was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since May 13, 2021PECOS EnrolledAccepts Medicare Assignment

3626 RUFFIN RD, SAN DIEGO, CA 92123(858) 565-6666(858) 565-9441 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2025, May 13, 2021 (2 updates tracked since 2021).

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About Dr. Jimmy Hom Md, Phd NPPES

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

DR. JIMMY HOM MD, PHD (NPI 1972177160) is an individual anesthesiology provider in San Diego, California, licensed in California (A200172) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Hofstra North Shore - Lij School Of Medicine (2021).

NPPES Registry Identity

NPI1972177160

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. JIMMY HOMCredential: MD, PHD

Location Address3626 RUFFIN RDSan Diego, CA 92123-1810

Mailing Address3626 Ruffin RdSan Diego, CA 92123-1810 · (858) 565-6666 · Fax (858) 565-9441

Phone(858) 565-6666

Fax(858) 565-9441

Sole ProprietorNo

Medical School CMSHofstra North Shore - Lij School Of MedicineGraduated 2021

Enumeration DateMay 13, 2021

Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration

NPPES CertifiedJuly 11, 2025

✔ NPI 1972177160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in CA · A200172

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

3626 RUFFIN RD, San Diego, CA 92123

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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 and accepts Medicare assignment

Dr. Jimmy Hom Md, Phd 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.

PECOS PAC ID1850792110

PECOS Enrollment IDI20250730000941

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.

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.

THOMAS J. PIETUCH M.D.

Anesthesiology