Active NPI
Jin Hee Kim, M.D.
- Internal Medicine Physician
- RSM, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A115125
- Practice address
- PO Box 80697
RSM, CA 92688-0697 - Phone
- (213) 700-3257
- NPI assigned
- May 9, 2011
- Last updated
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A115125 | CA | Primary |
| Hospitalist Physician | 208M00000X | A115125 | CA |
Addresses
Primary practice location
PO Box 80697
RSM, CA 92688-0697
Mailing address
PO Box 80697
RSM, CA 92688-0697
Phone (213) 700-3257
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2162152 | Medicaid | LA | |
| 06533308 | Medicaid | MS |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
18650 Macarthur Blvd
Irvine, CA 92612-1244
Phone (412) 996-9012
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Medical Group P C | Current | Accepting new patients | |
| Dazzle Health P C | Current | Accepting new patients | |
| Beaver Medical Group P C | Internal Medicine | Current | Accepting new patients |
| Allay Medical Care PC | Past | Accepting new patients |
Locations
18650 MacArthur Blvd
Irvine, CA 92612
Phone (412) 996-9012
18650 MacArthur Blvd
Ste 450
Irvine, CA 92612
Phone (949) 570-7750
1615 Orange Tree Ln
Redlands, CA 92374
Phone (909) 335-4102
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
2 W Fern Ave
#1112
Redlands, CA 92373
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Tustin, CA
- NPI 1578301495
-
dba Optum
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
Internal Medicine
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Primary Care Clinic/Center
- New York, NY
- NPI 1184807984
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Los Angeles, CA
- NPI 1205808326
-
- Home Health Agency
- Chatsworth, CA
- NPI 1093801680
-
- Home Health Agency
- Glendale, CA
- NPI 1780194159
-
- Home Health Agency
- Northridge, CA
- NPI 1164079406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1124310263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80697",
"city": "RSM",
"state": "CA",
"postal_code": "926880697",
"telephone_number": "213-700-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 80697",
"city": "RSM",
"state": "CA",
"postal_code": "926880697",
"telephone_number": "213-700-3257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JIN HEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A115125",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A115125",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2162152",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06533308",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in RSM, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.