Individual provider Active NPI

Jennifer J Baik, M.D.

  • Allergy & Immunology Physician
  • Los Angeles, CA
National Provider Identifier
1497764989
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A49466 Issued in CA
Practice address
300 S Hobart Blvd
Suite301
Los Angeles, CA 90020-3635
Phone
(213) 385-9090
Fax
(213) 385-4728
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A49466 CA Primary

Addresses

Primary practice location

300 S Hobart Blvd
Suite301
Los Angeles, CA 90020-3635

Mailing address

300 S Hobart Blvd
Suite301
Los Angeles, CA 90020-3635
Phone (213) 385-9090

Other names 1

  • Dr. Jennifer J Kim Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061026000321 CA Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 0345247805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SJ Medical Group IncGroup PAC ID 5890832059, 2 clinicians

Practice addresses (Care Compare)

300 S Hobart Blvd
Suite 301
Los Angeles, CA 90020-3693
Phone (213) 380-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A49466CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SJ Medical Group, Inc Allergy & Immunology CurrentSince Oct 1, 2009 Accepting new patients
Sincere Allergy Asthma Medical Group, Inc Allergy & Immunology PastSince Aug 8, 2007 Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients

Locations

300 S Hobart Blvd
Ste 301
Los Angeles, CA 90020
Phone (213) 380-1200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIDCBA/Endpoint/GIDCBA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1497764989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S HOBART BLVD",
            "address_2": "SUITE301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203635",
            "telephone_number": "213-385-9090",
            "fax_number": "213-385-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S HOBART BLVD",
            "address_2": "SUITE301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203635",
            "telephone_number": "213-385-9090",
            "fax_number": "213-385-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIK",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A49466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KIM",
            "middle_name": "J",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.