Jessica Jaehee Kim, PA-C - Medicare Physician Assistant in Montclair, CA

Jessica Jaehee Kim, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Montclair, California. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 4950 San Bernardino St Ste 200, Montclair, California. You can reach out to her office (for appointments etc.) via phone at (909) 621-7647.

Jessica Jaehee Kim is licensed to practice in California (license number 57333) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003458977.

Contact Information

Jessica Jaehee Kim, PA-C
4950 San Bernardino St Ste 200,
Montclair, CA 91763-2328
(909) 621-7647
Not Available

Map and Direction




Provider's Profile

Full NameJessica Jaehee Kim
GenderFemale
SpecialityPhysician Assistant
Experience5 Years
Location4950 San Bernardino St Ste 200, Montclair, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Jaehee Kim graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1003458977
  • Provider Enumeration Date: 10/11/2019
  • Last Update Date: 06/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4688006075
  • Enrollment ID: I20191125000944

Medical Identifiers

Medical identifiers for Jessica Jaehee Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003458977NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 57333 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291758172

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Jaehee Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica Jaehee Kim, PA-C
2731 Brierhaven Dr,
La Crescenta, CA 91214-1403

Ph: (818) 484-0802
Jessica Jaehee Kim, PA-C
4950 San Bernardino St Ste 200,
Montclair, CA 91763-2328

Ph: (909) 621-7647

Reviews and Comments


Physician Assistant Nurses in Montclair, CA

Martin Madrigal, PA-C
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Practice Location: 5404 Moreno St, Suite N, Montclair, CA 91763
Phone: 909-949-4400    Fax: 909-949-4441
Dareen M Nassman, PA-C
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Medicare: Medicare Enrolled
Practice Location: 8891 Central Ave, Suite A, Montclair, CA 91763
Phone: 909-297-3361    
Mrs. Michelle Anne Matyseck, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 8891 Central Ave, Montclair, CA 91763
Phone: 909-297-3361    
Theodora Pham Nguyen,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4950 San Bernardino St Ste 202, Montclair, CA 91763
Phone: 909-621-7647    Fax: 877-887-5774
Mrs. Joy Ofo, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 9057 Central Ave, Montclair, CA 91763
Phone: 909-370-1777    Fax: 909-370-1776
Charinda Charoen, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9301 Central Ave Ste 201, Montclair, CA 91763
Phone: 909-925-5567    Fax: 909-621-4900

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.