JENNY MIYON KIM M.D.
NPI 1255402012
Pediatrics - Pediatric Hematology-Oncology in San Diego, CA
NPI Status: Active since November 13, 2006
Contact Information
3010 CHILDRENS WAY
2-WEST
SAN DIEGO, CA
ZIP 92123
Phone: (858) 966-5811
- Individual
- Female
- Pediatrics
- Pediatric Hematology-Oncology
- PECOS Enrolled
About JENNY KIM
This page provides the complete NPI Profile along with additional information for Jenny Kim, a pediatrician established in San Diego, California with a medical specialization in Pediatrics, focusing in pediatric hematology-oncology . The healthcare provider is registered in the NPI registry with number 1255402012 assigned on November 2006. The practitioner's primary taxonomy code is 2080P0207X with license number A80257 (CA). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1255402012
- Provider Name
- JENNY MIYON KIM M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3010 CHILDRENS WAY 2-WEST SAN DIEGO, CA 92123
- Location Phone
- (858) 966-5811
- Mailing Address
- 3860 CALLE FORTUNADA SUITE 210 SAN DIEGO, CA 92123
- Mailing Phone
- (858) 309-6303
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-13-2006
- Last Update Date
- 08-30-2011
- Code Navigator
A pediatrician like Jenny Kim is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Hematology-Oncology
- Taxonomy Code
- 2080P0207X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A80257
- License State
- CA
- Taxonomy Description
- A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | A80257 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A802570 | MEDICAID (05) | CA |
Medicare Participation & PECOS Enrollment Status
Jenny Kim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 4 | 0 | 2 | 0 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 8 | 0 | 4 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 8 + 0 + 4 + 0 + 2 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1255402012 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922179779 | DEBORAH ELLEN SCHIFF M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 3010 CHILDRENS WAY 2-WEST SAN DIEGO, CA 92123 (858) 966-5811 |
| 1831260686 | JENNIFER REIKES WILLERT M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 3010 CHILDRENS WAY 2-WEST SAN DIEGO, CA 92123 (858) 966-5811 |
| 1346312964 | ERIC JON ANDERSON M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 3010 CHILDRENS WAY 2-WEST SAN DIEGO, CA 92123 (858) 966-5811 |
| 1255403879 | HYUNAH AHN M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 3010 CHILDRENS WAY 2-WEST SAN DIEGO, CA 92123 (858) 966-5811 |
| 1801950555 | CATHERINE EILLEEN MADIGAN M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 3010 CHILDRENS WAY 2-WEST SAN DIEGO, CA 92123 (858) 966-5811 |
| 1841340395 | DR. DONALD LEE DURDEN MD, PHD Individual | Pediatrics (Pediatric Hematology-Oncology) | 3010 CHILDRENS WAY 2-WEST SAN DIEGO, CA 92123 (858) 966-5811 |
| 1316135635 | DR. JUSTINE K. WALKER M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 3010 CHILDRENS WAY 2-WEST SAN DIEGO, CA 92123 (858) 966-5811 |
| 1760774723 | SHARP AND CHILDREN'S MRI CENTER LLC Organization | Clinic/Center (Magnetic Resonance Imaging (MRI)) | 3010 CHILDRENS WAY SUITE LL220 SAN DIEGO, CA 92123 (858) 939-4550 |
| 1326315599 | DR. JENNIFER CAROLINE YU M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 3010 CHILDRENS WAY 2-WEST SAN DIEGO, CA 92123 (858) 966-5811 |
| 1245302561 | WILLIAM DELBERT ROBERTS M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 3010 CHILDRENS WAY 2-WEST SAN DIEGO, CA 92123 (858) 966-5811 |
| 1538222310 | COURTNEY THORNBURG M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 3010 CHILDRENS WAY SAN DIEGO, CA 92123 (858) 966-5811 |
| 1962772970 | CHRISTINA MARIE KILLIAN-BENIGNO FNP Individual | Nurse Practitioner (Family) | 3010 CHILDRENS WAY 2-WEST SAN DIEGO, CA 92123 (858) 966-8035 |
| 1114005741 | KIMBERLY ANN BOWER MD Individual | Family Medicine (Hospice and Palliative Medicine) | 3010 CHILDRENS WAY SAN DIEGO, CA 92123 (858) 966-8022 |
| 1700047628 | DR. SUN HA CHOO MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 3010 CHILDRENS WAY 2-WEST SAN DIEGO, CA 92123 (858) 966-5811 |
| 1154662583 | MARIA PAULA ARISTIZABAL MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 3010 CHILDRENS WAY 2-WEST SAN DIEGO, CA 92123 (858) 966-5811 |
| 1154692473 | DR. VICTOR WONG M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 3010 CHILDRENS WAY 2-WEST SAN DIEGO, CA 92123 (858) 966-5811 |
| 1780813923 | HILDA DING MD. Individual | Pediatrics (Pediatric Hematology-Oncology) | 3010 CHILDRENS WAY 2 - WEST SAN DIEGO, CA 92123 (858) 966-5811 |
| 1982091740 | DR. ANUSHA PREETHI GANESAN Individual | Pediatrics (Pediatric Hematology-Oncology) | 3010 CHILDRENS WAY 2-WEST SAN DIEGO, CA 92123 (858) 966-5811 |
| 1861788093 | SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. Organization | Clinic/Center (Magnetic Resonance Imaging (MRI)) | 3010 CHILDRENS WAY SUITE LL220 SAN DIEGO, CA 92123 (858) 939-4550 |
| 1750492146 | DR. DENNIS JOHN KUO M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 3010 CHILDRENS WAY 2-WEST SAN DIEGO, CA 92123 (858) 966-5811 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255402012, enumerated in the NPI registry as an "individual" on November 13, 2006
The provider is located at 3010 Childrens Way 2-west San Diego, Ca 92123 and the phone number is (858) 966-5811
The provider's speciality is Pediatrics with taxonomy code 2080P0207X with a focus in Pediatric Hematology-Oncology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on November 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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