Jason D. Kim, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

66917 Issued in CA

Practice address

1700 E Cesar E Chavez Ave Ste 2500
Los Angeles, CA 90033-2434

Phone

(855) 522-3682

NPI assigned

Aug 11, 2025

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Mercer University School of Medicine, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Geoffrey Trenkle DO a Professional Medical Corporation

  • Otolaryngology Physician
  • Los Angeles, CA
  • NPI 1992124978
  Medicare reassignment NPD
• Citrus Valley Medical Associates, Inc.

  • Family Medicine Physician
  • Norco, CA
  • NPI 1306033709
  NPD (past)
• Employee Medical Consultants PC

  • Medical Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1558099325
  NPD (past)
• Michael R. Gatto MD, Inc.

  • Otolaryngology Physician
  • Palm Springs, CA
  • NPI 1811991847
  NPD (past)
• Samir a Shah MD Professional Corporation

  • Ophthalmology Physician
  • Huntington Beach, CA
  • NPI 1700197365
  NPD (past)

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1770468431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 2500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 2500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332434",
            "telephone_number": "855-522-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JASON",
        "middle_name": "D.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-11",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "66917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Soyeun Kim, PHARM.D
• Janette D Kim, PHARM.D
• Janette J Kim, O.D.
• Jang Wook Kim, DDS
• Janice Kim, O.D.
• Jasung Kim, MD
• Jayden Kim
• Jayne Kim, L.AC.
• Jean Yongjin Kim, AMFT
• Jeanie Kim, P.T.

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.