OrganizationActive
Jae J. Kim, M.D.
NPI 1073796843 · Primary Care Clinic/Center · Shafter, CA
Jae J. Kim, M.D. is a Primary Care Clinic/Center organization in Shafter, CA (NPI 1073796843).
Provider details
- NPI number
- 1073796843
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vickie Williamson, Office Supervisor(661) 746-4937
- License
- A38875 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
565 Kern St
Shafter, CA 93263-2133
Phone: (661) 746-4937
Street-level locationGet directions
Mailing address
565 Kern St
Shafter, CA 93263-2133
Other names (DBA / former)
- Doing business as
- Shafter Rural Health Care Clinic
Registry dates
- Enumerated
- 2007-12-14
- Last updated
- 2008-06-27
Frequently asked questions
- What is Jae J. Kim, M.D.'s NPI number?
- Jae J. Kim, M.D.'s National Provider Identifier (NPI) is 1073796843, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jae J. Kim, M.D.?
- Jae J. Kim, M.D. is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jae J. Kim, M.D. located?
- Jae J. Kim, M.D.'s practice location on file with NPPES is 565 Kern St, Shafter, CA 93263-2133.
- What is Jae J. Kim, M.D.'s phone number?
- The practice phone number listed in the NPPES registry for Jae J. Kim, M.D. is (661) 746-4937.
- Who is the authorized official for Jae J. Kim, M.D.?
- The authorized official listed on Jae J. Kim, M.D.'s NPPES record is Vickie Williamson, Office Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jae J. Kim, M.D.'s NPI active?
- Yes — Jae J. Kim, M.D.'s NPI (1073796843) is active in the NPPES registry as of the last update on 2008-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.