Haejin Kim, PA
NPI 1407927908 · Physician Assistant · West Sacramento, CA
Enrolled with Medicare as Order and Referring Only - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Haejin Kim, PA is a Physician Assistant provider in West Sacramento, CA (NPI 1407927908).
Provider details
- NPI number
- 1407927908
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA18683 (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
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 770 Magnolia Ave Ste 2aCorona, CA 92879-3122Phone: (951) 736-8144
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2023-04-19
- Certified
- 2023-04-19
Frequently asked questions
- What is Haejin Kim's NPI number?
- Haejin Kim's National Provider Identifier (NPI) is 1407927908, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Haejin Kim's specialty?
- Haejin Kim is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Haejin Kim located?
- Haejin Kim's practice location on file with NPPES is 500 Jefferson Blvd Ste B180, West Sacramento, CA 95605-2394.
- What is Haejin Kim's phone number?
- The practice phone number listed in the NPPES registry for Haejin Kim is (916) 403-2900.
- Does Haejin Kim accept Medicare?
- Haejin Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Haejin Kim's NPI active?
- Yes — Haejin Kim's NPI (1407927908) is active in the NPPES registry as of the last update on 2023-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.