Mr Jeffrey Kim, - Medicare Nurse Practitioner in Duarte, CA

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Mr Jeffrey Kim, is a medicare enrolled "Nurse Practitioner - Family" in Duarte, California. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Integrated Rehab Consultants California Inc, Integrative Sports And Spine Inc, West Coast Health And Rehab Pc and his current practice location is 802 Buena Vista St, Duarte, California. You can reach out to his office (for appointments etc.) via phone at (872) 231-3162.

Mr Jeffrey Kim is licensed to practice in California (license number 95015837) 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 1255937363.

Contact Information

Mr Jeffrey Kim,
802 Buena Vista St,
Duarte, CA 91010-1702
(872) 231-3162
Not Available

Map and Direction




Provider's Profile

Full NameMr Jeffrey Kim
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location802 Buena Vista St, Duarte, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jeffrey Kim graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1255937363
  • Provider Enumeration Date: 12/05/2020
  • Last Update Date: 10/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9133535891
  • Enrollment ID: I20210304001966

Medical Identifiers

Medical identifiers for Mr Jeffrey Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255937363NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95015837 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrated Rehab Consultants California Inc054749986524
Integrative Sports And Spine Inc701223021221
West Coast Health And Rehab Pc832531560915

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. Mr Jeffrey Kim allows following entities to bill medicare on his behalf.
Entity NameAlgos Inc A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497747356
PECOS PAC ID: 8123917713
Enrollment ID: O20040311001539
Entity NameIntegrated Rehab Consultants California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023449741
PECOS PAC ID: 0547499865
Enrollment ID: O20140208000426
Entity NameIntegrative Sports And Spine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245630557
PECOS PAC ID: 7012230212
Enrollment ID: O20141218002535
Entity NameWest Coast Health And Rehab Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043743891
PECOS PAC ID: 8325315609
Enrollment ID: O20170517002654

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. Mr Jeffrey 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
Mr Jeffrey Kim,
Po Box 7410882,
Chicago, IL 60674-0882

Ph: (702) 899-0595		Mr Jeffrey Kim,
802 Buena Vista St,
Duarte, CA 91010-1702

Ph: (872) 231-3162

Reviews and Comments


Nurse Practitioner Nurses in Duarte, CA

Miss Janice Mae Villegas, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2236 Park Rose Ave, Duarte, CA 91010
Phone: 626-475-4663    
Mrs. Erica H Chin, RN, NP, MS
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1500 East Duarte Rd, Duarte, CA 91010
Phone: 626-256-4673    Fax: 626-471-7155
Maria Elena Dela Rosa, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Duarte Rd, Duarte, CA 91010
Phone: 626-256-4673    
Mr. Shawn Robert Hurley, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Duarte Rd, Duarte, CA 91010
Phone: 800-826-4673    
Tim Nguyen, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Duarte Rd, Duarte, CA 91010
Phone: 626-256-4673    
Miss Gabriela Claudia Medrano, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1500 Duarte Rd, Duarte, CA 91010
Phone: 626-256-4673    
Ashley A. Dorn, N.P.
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1500 Duarte Rd, Duarte, CA 91010
Phone: 800-826-4673    

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.