Jessica Y Kim, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

20A17031 Issued in CA

Practice address

26732 Crown Valley Pkwy Ste 571
Mission Viejo, CA 92691-7305

Phone

(949) 200-7008

NPI assigned

Aug 14, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Dermatology

Education

Kansas City University of Physicians and Surgeons, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.92 of 100Reported as individual

Quality

81.67

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00141

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.

• Dermatology Specialists Inc

  • Dermatology Physician
  • Oceanside, CA
  • NPI 1881631711
  Medicare reassignment NPD
• Golden Coast Dermatology, Skin Cancer and Vein Center PC

  • MOHS-Micrographic Surgery Physician
  • Mission Viejo, CA
  • NPI 1053957456
  Medicare reassignment NPD
• Dermatology Specialists Inc

  • Dermatology Physician
  • San Marcos, CA
  • NPI 1578763876
  NPD (past)
• Grossmont Hospital Corporation

  • General Acute Care Hospital
  • La Mesa, CA
  • NPI 1528041811
  NPD (past)
• Scripps Health

  • Clinical Medical Laboratory
  • La Jolla, CA
  • NPI 1427034990
  NPD (past)

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1245663228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 571",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917305",
            "telephone_number": "949-200-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 571",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917305",
            "telephone_number": "949-200-7008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 45th St",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072047",
            "country_code": "US",
            "telephone_number": "561-842-6141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3629 Vista Way",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564522",
            "country_code": "US",
            "telephone_number": "760-757-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JESSICA",
        "middle_name": "Y",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "UO3501",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A17031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Kim
• Fred Kim, DPT
• Gina Kim
• Hyun Yil Henry Kim, DMD
• Janet Bonnie Kim, M.D.
• Joanne Yoo Kim, PA-C
• Keun-Young Anthony Kim, M.D.
• Lois Sunglim Kim, L.AC
• Minji Kim, FNP-C
• Sarah Soon Kim

• Dermatology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; 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.