Jessica Kim, PA-C, DC, LAC - Medicare Physician Assistant in Newport Beach, CA

Jessica Kim, PA-C, DC, LAC is a medicare enrolled "Physician Assistant" in Newport Beach, California. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is 1601 Avocado Ave, Newport Beach, California. You can reach out to her office (for appointments etc.) via phone at (949) 763-2204.

Jessica Kim is licensed to practice in California (license number 55087) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1285908673.

Contact Information

Jessica Kim, PA-C, DC, LAC
1601 Avocado Ave,
Newport Beach, CA 92660-7798
(949) 763-2204
(949) 536-8036

Map and Direction




Provider's Profile

Full NameJessica Kim
GenderFemale
SpecialityPhysician Assistant
Experience9 Years
Location1601 Avocado Ave, Newport Beach, California
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Kim graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1285908673
  • Provider Enumeration Date: 03/02/2012
  • Last Update Date: 05/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1658856075
  • Enrollment ID: I20260402001874

Medical Identifiers

Medical identifiers for Jessica Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285908673NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 55087 (California)Primary
171100000XAcupuncturist AC14601 (California)Secondary
111NS0005XChiropractor - Sports Physician DC32286 (California)Secondary

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 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 Kim, PA-C, DC, LAC
Po Box 512185,
Los Angeles, CA 90051-0185

Ph: () -
Jessica Kim, PA-C, DC, LAC
1601 Avocado Ave,
Newport Beach, CA 92660-7798

Ph: (949) 763-2204

Reviews and Comments


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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.