Active NPI
Jennifer Kim, M.D.
- Family Medicine Physician
- Huntington Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A131917
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A13197 | CA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| One Medical Group, Inc | Family Medicine | Current | 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.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1467781641
-
- Family Medicine Physician
- Tigard, OR
- NPI 1891521134
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1194404327
Family Medicine
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.