Individual provider Active NPI

Jin Hee Kim, M.D.

  • Internal Medicine Physician
  • RSM, CA
National Provider Identifier
1124310263
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A115125 Issued in CA
Practice address
PO Box 80697
RSM, CA 92688-0697
Phone
(213) 700-3257
NPI assigned
May 9, 2011
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2162152MedicaidLA
06533308MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130617000677 CA Practitioner - Internal Medicine 8426229832 Reassigns benefits to 2 organizations

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
Dazzle Health P CGroup PAC ID 4082146634, 26 clinicians

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

OrganizationSpecialtyStatusNew patients
Beaver Medical Group P C CurrentSince May 15, 2013 Accepting new patients
Dazzle Health P C CurrentSince Sep 23, 2025 Accepting new patients
Beaver Medical Group P C Internal Medicine CurrentSince May 15, 2013 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.