Jae Joon Kim, MD in Shafter, CA - Medicare Internal Medicine

Jae Joon Kim, MD is a medicare enrolled "Family Medicine" physician in Shafter, California. He graduated from medical school in 1971 and has 55 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Vanguard Medical Corporation and his current practice location is 565 Kern St, Shafter, California. You can reach out to his office (for appointments etc.) via phone at (661) 746-4937.

Jae Joon Kim is licensed to practice in California (license number A38875) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841264918.

Contact Information

	Jae Joon Kim, MD
	565 Kern St, Shafter, CA 93263-2133
	(661) 746-4937
	(855) 200-2829

Map and Direction

Physician's Profile

Full Name	Jae Joon Kim
Gender	Male
Speciality	Internal Medicine
Experience	55 Years
Location	565 Kern St, Shafter, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jae Joon Kim graduated from medical school in 1971

NPI Data:

NPI Number: 1841264918
Provider Enumeration Date: 02/15/2006
Last Update Date: 12/10/2025

Medicare PECOS Information:

PECOS PAC ID: 6709900368
Enrollment ID: I20100902001059

Medical Identifiers

Medical identifiers for Jae Joon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841264918	NPI	-	NPPES
553819A	Other	CA	MEDICARE RHC
RHM53819F	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A38875 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Around The Clock Home Care	Bakersfield, CA	Home health agency
Adventist Health Bakersfield	Bakersfield, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vanguard Medical Corporation	4587881685	24

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jae Joon Kim allows following entities to bill medicare on his behalf.

Entity Name	Vanguard Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609281310 PECOS PAC ID: 4587881685 Enrollment ID: O20140813002697

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. Jae Joon 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 Address	Practice Location Address
Jae Joon Kim, MD 565 Kern St, Shafter, CA 93263-2133 Ph: (661) 746-4937	Jae Joon Kim, MD 565 Kern St, Shafter, CA 93263-2133 Ph: (661) 746-4937

Reviews and Comments

Family Medicine Doctors in Shafter, CA

Dr. Chan H. Park, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 565 Kern St, Shafter, CA 93263 Phone: 661-746-4937
Michael L. Komin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1160 E Lerdo Hwy Ste H, Shafter, CA 93263 Phone: 661-746-1503 Fax: 855-576-4860

Jae Joon Kim, MD - Medicare Internal Medicine in Shafter, CA