Jerry Kim MD Inc
NPI 1093452278 · Vascular Surgery Physician · Pomona, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jerry Kim MD Inc is a Vascular Surgery Physician organization in Pomona, CA (NPI 1093452278).
Provider details
- NPI number
- 1093452278
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jerry Kim, Owner(818) 913-2393
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2022-05-18
- Last updated
- 2023-08-01
- Certified
- 2023-08-01
Frequently asked questions
- What is Jerry Kim MD Inc's NPI number?
- Jerry Kim MD Inc's National Provider Identifier (NPI) is 1093452278, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jerry Kim MD Inc?
- Jerry Kim MD Inc is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Jerry Kim MD Inc located?
- Jerry Kim MD Inc's practice location on file with NPPES is 350 Vinton Ave Ste 202, Pomona, CA 91767-3000.
- What is Jerry Kim MD Inc's phone number?
- The practice phone number listed in the NPPES registry for Jerry Kim MD Inc is (909) 973-1148.
- Does Jerry Kim MD Inc accept Medicare?
- Jerry Kim MD Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jerry Kim MD Inc?
- The authorized official listed on Jerry Kim MD Inc's NPPES record is Jerry Kim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jerry Kim MD Inc's NPI active?
- Yes — Jerry Kim MD Inc's NPI (1093452278) is active in the NPPES registry as of the last update on 2023-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.