Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215307095 Individual Practitioner Female Practitioner

Jung O. Kim , NP

Nurse Practitioner • Lancaster, CA

Professional Overview & Biography Verified Profile Summary

Jung Kim, NP is a registered healthcare professional specializing in Nurse Practitioner in Lancaster, CA. Practice services are available at 1600 W AVENUE J under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1600 W Avenue J

Lancaster, CA 935342814

Telephone 6614787420
Fax 6617266149
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lancaster, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
34 Specialists

Practicing in Lancaster, CA (8378 Statewide)

Telehealth Adoption Rate
8.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-09
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95002596

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License CA 95002596

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License CA 95002596

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Christian Hauser , PA-C

Physician Assistant - Medical

NPI 1003878950

Physician Assistant (Certified)

Dr. Frederic Auerbach , MD

Emergency Medicine

NPI 1023074713

Doctor of Medicine (M.D.)

Dalia Zahroon , PA-C

Physician Assistant

NPI 1033443445

Physician Assistant (Certified)

Xiaoyan Zhou

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1033537527
Rosanna Salice , FNP

Registered Nurse - Emergency

NPI 1033585906

Family Nurse Practitioner

Natalie Hernandez

Speech-Language Pathologist

NPI 1043164122

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location August 09, 2022

Registered at 1600 W AVENUE J, LANCASTER, CA 935342814 (Tel: 6614787420)

📍
Updated Business Mailing Address August 09, 2022

Registered at 1600 W AVENUE J, LANCASTER, CA 935342814 (Tel: 6614787420)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2022

Nurse Practitioner (License #95002596 in CA)

NPI Profile Active January 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2017

Registered at 23247 MCBEAN PARKWAY, VALENCIA, CA 91355 (Tel: 6612001240)

📍
Updated Business Mailing Address January 13, 2017

Registered at 23247 MCBEAN PARKWAY, VALENCIA, CA 91355 (Tel: 6612001240)

👤
Provider Name / Credentials Updated January 13, 2017

Recorded as JUNG KIM, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2017

Nurse Practitioner (License #95002596 in CA)

NPI Profile Active January 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2016

Registered at 23310 CINEMA DR STE 104, VALENCIA, CA 913551613 (Tel: 6612552516)

📍
Updated Business Mailing Address January 11, 2016

Registered at 16095 PROSPERITY DR STE 100, NOBLESVILLE, IN 460604320 (Tel: 7654140936)

👤
Provider Name / Credentials Updated January 11, 2016

Recorded as JUNG KIM, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2016

Nurse Practitioner (License #95002596 in CA)

🟢
Initial NPI Registration & Enumeration October 06, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215307095
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2015
Last Update: August 09, 2022
Sole Proprietor: No

Mailing Address

1600 W Avenue J

Lancaster, CA 935342814

Phone: 6614787420

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.