Ja Young Kim, NP - Medicare Nurse Practitioner in Santa Clara, CA

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Ja Young Kim, NP is a medicare enrolled "Nurse Practitioner - Family" in Santa Clara, California. Her current practice location is 2734 El Camino Real, Santa Clara, California. You can reach out to her office (for appointments etc.) via phone at (408) 241-3801.

Ja Young Kim is licensed to practice in California (license number NP95008416) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033611280.

Contact Information

Ja Young Kim, NP
2734 El Camino Real,
Santa Clara, CA 95051-3007
(408) 241-3801
Not Available

Map and Direction




Provider's Profile

Full NameJa Young Kim
GenderFemale
SpecialityNurse Practitioner - Family
Location2734 El Camino Real, Santa Clara, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033611280
  • Provider Enumeration Date: 03/04/2018
  • Last Update Date: 07/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8123353091
  • Enrollment ID: I20190715002270

Medical Identifiers

Medical identifiers for Ja Young Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033611280NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP95008416 (California)Primary

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. Ja Young Kim allows following entities to bill medicare on her behalf.
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659450955
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000757
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Other Medical Care Group
Entity IdentifiersNPI Number: 1629301346
PECOS PAC ID: 1254244973
Enrollment ID: O20110318000170

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. Ja Young 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
Ja Young Kim, NP
325 Distel Cir,
Los Altos, CA 94022-1408

Ph: (650) 265-8266		Ja Young Kim, NP
2734 El Camino Real,
Santa Clara, CA 95051-3007

Ph: (408) 241-3801

Reviews and Comments


Nurse Practitioner Nurses in Santa Clara, CA

Mrs. Sharlene Junio Madanes, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051
Phone: 408-851-3829    Fax: 408-851-3872
Alejandra Lorena Lecaros, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051
Phone: 408-851-1000    
Jacqueline E Trammell, RN, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 710 Lawrence Expy, Department 342, Santa Clara, CA 95051
Phone: 408-851-3828    Fax: 408-851-3872
Mr. Erick Michael Pierce, RN, NP, CRNA
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051
Phone: 408-851-6012    
Erma Carbonell Trias, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051
Phone: 408-851-2399    
Mrs. Marion C Colombo, RNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2885 Kaiser Dr., Building C, Santa Clara, CA 95051
Phone: 408-851-9400    Fax: 408-851-9412

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.