Jungbong Kim, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A100599 Issued in CA

Practice address

4 Longbourn Aisle
Irvine, CA 92603-5722

Phone

(949) 679-8762

Fax

(949) 679-8762

NPI assigned

Oct 11, 2006

Last updated

Jun 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Anesthesiology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arash Esmailzadegan MD IncGroup PAC ID 5799073714, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Anaheim Medical Center Hospital, Anaheim, CA, CCN 050426
• Huntington Beach Hospital Hospital, Huntington Beach, CA, CCN 050526
• La Palma Intercommunity Hospital Hospital, La Palma, CA, CCN 050580

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkim214388@westdirect.optum.com

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.

• Arash Esmailzadegan MD Inc

  • Anesthesiology Physician
  • Huntington Beach, CA
  • NPI 1720536097
  Medicare reassignment Care Compare group NPD
• Gardena Anesthesia Medical Services Inc

  • Anesthesiology Physician
  • Gardena, CA
  • NPI 1982874897
  Medicare reassignment NPD
• Landmark Anesthesia Medical Group

  dba Landmark Anesthesia Medical Group LLUMC

  • Anesthesiology Physician
  • Lynwood, CA
  • NPI 1770035024
  Medicare reassignment NPD
• Lgibson Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Rancho Cucamonga, CA
  • NPI 1417473323
  Medicare reassignment NPD
• Jung Bong Kim,MD,Inc.

  • Anesthesiology Physician
  • Irvine, CA
  • NPI 1275863466
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Anaheim, LLC

  dba West Anaheim Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1871501916
  Care Compare affiliation
• Prime Healthcare Huntington Beach, LLC

  • General Acute Care Hospital
  • Huntington Beach, CA
  • NPI 1083622120
  Care Compare affiliation
• Prime Healthcare la Palma, LLC

  dba La Palma Intercommunity Hospital

  • General Acute Care Hospital
  • La Palma, CA
  • NPI 1417965559
  Care Compare affiliation

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1255429510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LONGBOURN AISLE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926035722",
            "telephone_number": "949-679-8762",
            "fax_number": "949-679-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LONGBOURN AISLE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926035722",
            "telephone_number": "949-679-8762",
            "fax_number": "949-679-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNGBONG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A100599",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "2385861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Haijung Kim, MD
• Jun Jiyeon Kim
• Jun Seo Kim, LAC
• Jung H Kim, ATC, PTA
• Jung Wook Kim, MD
• Jungeun Kim, PHARMD
• Kathleen Kim
• Keon Jung Kim, DDS
• Kevin Youngjun Kim
• Kyung Ja Kim, L.. AC

• Anesthesiology Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.