Individual provider Active NPI

Jennifer Kim, M.D.

  • Family Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1144666272
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A131917 Issued in CA
Practice address
7881 Edinger Ave Ste 124
Huntington Beach, CA 92647-7647
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
May 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X A13197 CA
Family Medicine Physician 207Q00000X A131917 CA Primary

Addresses

Primary practice location

7881 Edinger Ave Ste 124
Huntington Beach, CA 92647-7647

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

225 S Euclid Ave
Pasadena, CA 91101-2717
Phone (626) 787-1397

Other practice location 2

701 E 28th St Ste 111
Long Beach, CA 90806-2715
Phone (562) 269-0300

Other practice location 3

21034 Pacific Coast Hwy Ste C230
Huntington Beach, CA 92648-5335
Phone (888) 663-6331

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
I20151221001244 CA Practitioner - Family Practice 8426364571

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 W Ctr St Promenade
Suite 300
Anaheim, CA 92835-3960

393 E Walnut St
Pasaden, CA 91188-0001

701 E 28TH St
Suite 111
Long Beach, CA 90806-2715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A13197CAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc. Family Medicine CurrentSince Jan 26, 2023 Accepting new patients
One Medical Group, Inc Family Medicine CurrentSince Jan 26, 2023 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Cloud Health Medical Group of California, P.C. Family Medicine Past Accepting new patients

Locations

110 Sutter St
Fl 6
San Francisco, CA 94104
Phone (415) 392-8200

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

3885 24th St
San Francisco, CA 94114
Phone (415) 529-4522

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1144666272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7881 EDINGER AVE STE 124",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477647",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 S Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911012717",
            "country_code": "US",
            "telephone_number": "626-787-1397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E 28th St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062715",
            "country_code": "US",
            "telephone_number": "562-269-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21034 Pacific Coast Hwy Ste C230",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926485335",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A13197",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A131917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.