Jae Min Kim

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

29063 Discovery Ridge Dr
Santa Clarita, CA 91390-5758

Phone

(661) 877-8230

NPI assigned

Feb 13, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1275338444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29063 DISCOVERY RIDGE DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913905758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29063 DISCOVERY RIDGE DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913905758",
            "telephone_number": "661-877-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAE MIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David S. Kim, D.D.S.
• Grace B Kim
• Hong Suk Kim, D.O.M., L.AC.
• Hyunbum Issac Kim
• Hyung S Kim, M.D.
• Min-Jeong Kim
• Pris Ha Young Kim, PHARMD
• Teja Kim, L.AC.
• Michauni Kimbrew
• Erika Violet Kincaid, MA, LMFT

• Student in an Organized Health Care Education/Training Program in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.