Jkim Nursing, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

JKIM NURSING, INC

Practice address

3657 Van Buren Blvd
Riverside, CA 92503-4249

Phone

(909) 238-7966

NPI assigned

Jun 15, 2023

Organization subpart

No

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

Authorized official

Name

Joanne Kim, N.P.NPI 1053037192

Title

Ceo

Phone

(909) 238-7966

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanne Kim, NP

  • Family Nurse Practitioner
  • Riverside, CA
  • NPI 1053037192
  NPD Authorized official

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1235813528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9961 KAYLOR AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202225",
            "telephone_number": "909-238-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3657 VAN BUREN BLVD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034249",
            "telephone_number": "909-238-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKIM NURSING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-238-7966",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ji Sung Jin
• Lizhong Jin
• Sung Jin, PHARMD
• Prateek Jindal, DO
• Salina M Jivan, OTD, OTR/L
• JMC Pharmacy, Inc.
• JMC Pharmacy, Inc.
• JMDK Healthcare LLC
• Jerine Francillia Jno-Charles
• Philip Jo, DDS

• Primary Care Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.