Individual provider Active NPI

Ashley Nina Kim, PA

  • Physician Assistant
  • Irvine, CA
National Provider Identifier
1053990127
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
59888 Issued in CA
Practice address
15775 Laguna Canyon Rd Ste 100
Irvine, CA 92618-3190
Phone
(949) 417-0272
NPI assigned
Apr 6, 2021
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 59888 CA Primary

Addresses

Primary practice location

15775 Laguna Canyon Rd Ste 100
Irvine, CA 92618-3190

Mailing address

28 Hideaway Loop
Mission Viejo, CA 92692-5962
Phone (949) 236-9479

Other practice location 1

212 Coffee Rd Ste 100
Bakersfield, CA 93309-1273
Phone (661) 885-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220614002143 CA Practitioner - Physician Assistant 5597156513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emergency Physicians Urgent Care IncGroup PAC ID 8527234418, 138 clinicians

Practice addresses (Care Compare)

41540 Winchester Rd
Temecula, CA 92590-4877
Phone (951) 365-5585

6789 N Blackstone Ave
Fresno, CA 93710-3530
Phone (559) 512-3377

9710 Brimhall Rd
Bakersfield, CA 93312-2779
Phone (661) 829-6747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Urgent Care Inc. CurrentSince Jan 13, 2025 Accepting new patients
Sand Canyon Medical Group CurrentSince May 11, 2025 Accepting new patients

Locations

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

2251 Mount Vernon Ave
Bakersfield, CA 93306
Phone (661) 624-0404

2400 K St
Bakersfield, CA 93301
Phone (661) 885-9909

4040 California Ave
Bakersfield, CA 93309
Phone (661) 336-2050

4871 White Ln
Bakersfield, CA 93309
Phone (661) 832-1679

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

761 W Shaw Ave
Clovis, CA 93612
Phone (559) 549-3234

32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

15775 Laguna Canyon Rd
Ste 100
Irvine, CA 92618
Phone (949) 417-0272

24799 Alicia Pkwy
Laguna Hills, CA 92653
Phone (949) 652-2515

28110 Clinton Keith Rd
Murrieta, CA 92563
Phone (661) 885-6060

29400 Rancho California Rd
Temecula, CA 92591
Phone (951) 595-8282

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1053990127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HIDEAWAY LOOP",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925962",
            "telephone_number": "949-236-9479",
            "fax_number": "661-520-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15775 LAGUNA CANYON RD STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183190",
            "telephone_number": "949-417-0272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Coffee Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933091273",
            "country_code": "US",
            "telephone_number": "661-885-6060",
            "fax_number": "661-520-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ASHLEY",
        "middle_name": "NINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.