Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548755754 Individual Practitioner Male Practitioner

Dr. Jeonghoon Kim , MD

Pediatrics • Red Bluff, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jeonghoon Kim, MD is a registered healthcare professional specializing in Pediatrics in Red Bluff, CA. Practice services are available at 2450 SISTER MARY COLUMBA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2450 Sister Mary Columba Dr

Red Bluff, CA 960804356

Telephone 5305270414
Associated Practice Facility / Clinic
🏢 Lassen Medical Group Inc Facility NPI 1003955758

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Red Bluff, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
10 Specialists

Practicing in Red Bluff, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% 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: 2021-08-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A174213

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Lee Shoop , MD

Family Medicine

NPI 1023143146

Doctor of Medicine (M.D.)

David Dahnke

Internal Medicine

NPI 1053451625
Kate Ellis , PA-C

Physician Assistant - Medical

NPI 1063949550

Physician Assistant (Certified)

Kisung Kim , BM

Pediatrics - Adolescent Medicine

NPI 1073939815
Lena Jesrani , MSN, FNP-BC

Nurse Practitioner - Family

NPI 1083934855

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

NPI 1104160415

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 24, 2021

Registered at 2450 SISTER MARY COLUMBA DR, RED BLUFF, CA 960804356 (Tel: 5305270414)

📍
Updated Business Mailing Address August 24, 2021

Registered at 2450 SISTER MARY COLUMBA DR, RED BLUFF, CA 960804356

NPI Profile Active June 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2018

Registered at 450 CLARKSON AVE # 59, BROOKLYN, NY 112032012 (Tel: 7182701000)

📍
Updated Business Mailing Address June 29, 2018

Registered at 450 CLARKSON AVE # 59, BROOKLYN, NY 112032012

👤
Provider Name / Credentials Updated June 29, 2018

Recorded as JEONGHOON KIM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 29, 2018

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: 1548755754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2018
Last Update: August 24, 2021
Sole Proprietor: No

Mailing Address

2450 Sister Mary Columba Dr

Red Bluff, CA 960804356

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.