Active NPI
Jessica Nah-Hyung Kim, MD
- Internal Medicine Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A157835
- Practice address
- 101 The City Dr S
Orange, CA 92868-3201 - Phone
- (714) 456-7016
- NPI assigned
- Apr 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A157835 | CA | Primary |
| Pediatrics Physician | 208000000X | A157835 | CA |
Addresses
Primary practice location
101 The City Dr S
Orange, CA 92868-3201
Mailing address
101 The City Dr S
Orange, CA 92868-3201
Other practice location 1
1095 Irvine Blvd
Tustin, CA 92780-3526
Phone (714) 505-7110
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkim1991414@oc.providencedirect.org | ||
| Direct Messaging Address | jkim1991414@oc.providencedirect.org | ||
| Direct Messaging Address | jkim1991414@oc.providencedirect.org | ||
| Direct Messaging Address | jkim1991414@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Nevada School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A157835 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Regents | Internal Medicine | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620
101 The City Dr S
Bldg 29
Orange, CA 92868
Phone (714) 456-7005
2501 E Chapman Ave
Orange, CA 92869
Phone (714) 628-3300
2501 E Chapman Ave
Ste 207
Orange, CA 92869
Phone (714) 771-8177
1095 Irvine Blvd
Tustin, CA 92780
Phone (714) 505-7110
Organizations & group practices 8
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.
-
- Infectious Disease Physician
- Orange, CA
- NPI 1760430847
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Internal Medicine Physician
- Orange, CA
- NPI 1205884392
-
- Pulmonary Disease Physician
- Orange, CA
- NPI 1629026729
-
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Irvine, CA
- NPI 1013309707
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712448000000",
"number": "1477086866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 THE CITY DR S",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DR S",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "714-456-7016"
}
],
"practiceLocations": [
{
"address_1": "1095 Irvine Blvd",
"address_purpose": "LOCATION",
"city": "Tustin",
"state": "CA",
"postal_code": "927803526",
"country_code": "US",
"telephone_number": "714-505-7110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JESSICA",
"middle_name": "NAH-HYUNG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-04",
"last_updated": "2024-04-07",
"certification_date": "2024-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A157835",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A157835",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkim1991414@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1095 Irvine Blvd",
"city": "Tustin",
"state": "CA",
"country_code": "US",
"postal_code": "927803526",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkim1991414@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1100 W Stewart Dr",
"city": "Orange",
"state": "CA",
"country_code": "US",
"postal_code": "928683849",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkim1991414@oc.providencedirect.org",
"affiliation": "N",
"address_1": "2501 E Chapman Ave",
"city": "Orange",
"state": "CA",
"country_code": "US",
"postal_code": "928693204",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkim1991414@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1095 Irvine Blvd",
"city": "Tustin",
"state": "CA",
"country_code": "US",
"postal_code": "927803526",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; 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.