Jason H H Kim, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

000000A75011 Issued in CA

Practice address

1950 Sunny Crest Dr Ste 2700
Fullerton, CA 92835-3645

Phone

(714) 519-3545

NPI assigned

Oct 17, 2006

Last updated

Mar 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Kim Medical Corporation

  • Otolaryngology Physician
  • Fullerton, CA
  • NPI 1972079903
  Medicare reassignment NPD
• Providence Medical Foundation

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1639715709
  NPD (past)
• St Jude Hospital Inc

  dba Providence St. Jude Medical Center

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279
  NPD (past)
• University Head & Neck Surgeons

  • Otolaryngology Physician
  • Orange, CA
  • NPI 1669437075
  NPD (past)
• University of California Irvine

  dba UCI Health - Placentia Linda

  • General Acute Care Hospital
  • Placentia, CA
  • NPI 1700817756
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1225118979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SUNNY CREST DR STE 2700",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353645",
            "telephone_number": "714-519-3545",
            "fax_number": "714-870-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SUNNY CREST DR STE 2700",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353645",
            "telephone_number": "714-519-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JASON H",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "000000A75011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A75011",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Kim, OTR/L
• Jane Kim, PA-C
• Janet Hojung Kim, D.D.S
• Janghoi Kim, L.AC.
• Jason Kim, DDS
• Jay H. Kim, M.D.
• Jennifer Kim
• Jennifer Kim, HEARING INSTRUMENT S
• Jeong Chuel Kim
• Jeong.S Kim

• Otolaryngology Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.

Verify at the official NPI Registry.