Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043780216 Individual Practitioner Female Practitioner

Jiyeon Kim , NURSE PRACTITIONER

Nurse Practitioner • Reseda, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jiyeon Kim, NURSE PRACTITIONER is a certified Nurse Practitioner practicing in Reseda, CA. With approximately 13 years of clinical experience since completing medical education in 2013, Jiyeon Kim delivers high-quality medical care to the local community at 18107 SHERMAN WAY STE 200.

Jiyeon Kim accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of muscle and/or tissue, 20.0 sq cm or less, removal of muscle and/or tissue, ultrasound study of arm and leg arteries. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

18107 Sherman Way Ste 200

Reseda, CA 913358802

Telephone 8187831002
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Reseda, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +1.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Reseda, CA (8378 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
35.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (13 Years) 13 Yrs
Reseda Specialty Average (12.0 Years) 12.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less
338 88 $300.00 $215.17
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less
288 36 $100.00 $67.46
93922 Ultrasound study of arm and leg arteries
37 37 $150.00 $85.04
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes
32 32 $130.00 $72.27
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
31 11 $388.39 $158.88
17250 Application of chemical to stop tissue regrowth in wound
23 22 $120.00 $39.49
11042 Removal of skin and tissue, 20.0 sq cm or less
21 15 $150.00 $66.87
49450 Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin
19 18 $780.00 $659.73

Medical Specialties & State Licenses

CMS Verified: 2022-03-31
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95006590

(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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Renita Pullens , DO

General Practice

NPI 1093791667

Doctor of Osteopathic Medicine (D.O.)

Poy Yamada , NP

Nurse Practitioner - Family

NPI 1346843935

Nurse Practitioner

Dr. Tanya Hamidi , MD

Internal Medicine - Hospice and Palliative Medicine

NPI 1740416445

Doctor of Medicine (M.D.)

Rodolfo Alvarado , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1790248276

Psychiatric-Mental Health Nurse Practitioner

Mandeep Brar , NP

Nurse Practitioner - Family

NPI 1801205364

Nurse Practitioner

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location March 31, 2022

Registered at 18107 SHERMAN WAY STE 200, RESEDA, CA 913358802 (Tel: 8187831002)

📍
Updated Business Mailing Address March 31, 2022

Registered at 18107 SHERMAN WAY STE 200, RESEDA, CA 913358802 (Tel: 8187831112)

📍
Updated Practice Location January 10, 2021

Registered at 500 W 190TH ST FL 4, GARDENA, CA 902484268 (Tel: 8662436057)

📍
Updated Business Mailing Address January 10, 2021

Registered at 500 W 190TH ST FL 4, GARDENA, CA 902484268 (Tel: 8662436057)

📍
Updated Practice Location November 11, 2019

Registered at 8540 S SEPULVEDA BLVD STE 1100, LOS ANGELES, CA 900453819 (Tel: 3105688938)

📍
Updated Business Mailing Address November 11, 2019

Registered at 8540 S SEPULVEDA BLVD STE 1100, LOS ANGELES, CA 900453819 (Tel: 3105688938)

NPI Profile Active November 30, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2018

Registered at 500 W 190TH ST STE 400, GARDENA, CA 902484269 (Tel: 4244335771)

📍
Updated Business Mailing Address November 30, 2018

Registered at 5800 GREEN VALLEY CIR APT 102, CULVER CITY, CA 902306934

👤
Provider Name / Credentials Updated November 30, 2018

Recorded as JIYEON KIM, NURSE PRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2018

Nurse Practitioner (License #95006590 in CA)

🟢
Initial NPI Registration & Enumeration November 30, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jiyeon Kim. Be the first to share your experience!

Sign in to leave a review for Jiyeon Kim

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1043780216
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2018
Last Update: March 31, 2022
Sole Proprietor: No

Mailing Address

18107 Sherman Way Ste 200

Reseda, CA 913358802

Phone: 8187831112

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.