Jae Shim, MD
NPI 1366519274 · Pediatrics Physician · Fontana, CA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jae Shim, MD is a Pediatrics Physician provider in Fontana, CA (NPI 1366519274).
Provider details
- NPI number
- 1366519274
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- A54004 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-11-29
- Last updated
- 2021-12-03
Frequently asked questions
- What is Jae Shim's NPI number?
- Jae Shim's National Provider Identifier (NPI) is 1366519274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jae Shim's specialty?
- Jae Shim is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jae Shim located?
- Jae Shim's practice location on file with NPPES is 9961 Sierra Ave, Fontana, CA 92335-6720.
- What is Jae Shim's phone number?
- The practice phone number listed in the NPPES registry for Jae Shim is (909) 427-3910.
- Does Jae Shim accept Medicare?
- Jae Shim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jae Shim's NPI active?
- Yes — Jae Shim's NPI (1366519274) is active in the NPPES registry as of the last update on 2021-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.