Jiyeon Kim, NURSE PRACTITIONER
NPI 1043780216 · Nurse Practitioner · Reseda, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jiyeon Kim, NURSE PRACTITIONER is a Nurse Practitioner provider in Reseda, CA (NPI 1043780216).
Provider details
- NPI number
- 1043780216
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- No
- License
- 95006590 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-11-30
- Last updated
- 2022-03-31
- Certified
- 2022-03-31
Frequently asked questions
- What is Jiyeon Kim's NPI number?
- Jiyeon Kim's National Provider Identifier (NPI) is 1043780216, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jiyeon Kim's specialty?
- Jiyeon Kim is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jiyeon Kim located?
- Jiyeon Kim's practice location on file with NPPES is 18107 Sherman Way Ste 200, Reseda, CA 91335-8802.
- What is Jiyeon Kim's phone number?
- The practice phone number listed in the NPPES registry for Jiyeon Kim is (818) 783-1002.
- Does Jiyeon Kim accept Medicare?
- Jiyeon Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jiyeon Kim's NPI active?
- Yes — Jiyeon Kim's NPI (1043780216) is active in the NPPES registry as of the last update on 2022-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.