IRENE JEAN KIM PA-C
NPI 1447891536
Physician Assistant - Medical in Los Angeles, CA
NPI Status: Active since October 01, 2019
Contact Information
311 WINSTON ST
LOS ANGELES, CA
ZIP 90013
Phone: (213) 893-1960
- Individual
- Female
- Physician Assistant
- Medical
- PECOS Enrolled
About IRENE KIM
This page provides the complete NPI Profile along with additional information for Irene Kim, a primary care provider established in Los Angeles, California with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1447891536 assigned on October 2019. The practitioner's primary taxonomy code is 363AM0700X with license number 57268 (CA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1447891536
- Provider Name
- IRENE JEAN KIM PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 311 WINSTON ST LOS ANGELES, CA 90013
- Location Phone
- (213) 893-1960
- Mailing Address
- 1560 3RD ST APT 1505 SAN FRANCISCO, CA 94158
- Mailing Phone
- (323) 273-9680
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-01-2019
- Last Update Date
- 10-01-2019
- Code Navigator
A primary care provider (PCP) like Irene Kim sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 57268
- License State
- CA
Medicare Participation & PECOS Enrollment Status
Irene 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 | 4 | 4 | 7 | 8 | 9 | 1 | 5 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 8 | 7 | 16 | 9 | 2 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 8 + 7 + 1 + 6 + 9 + 2 + 5 + 6 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1447891536 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1013005438 | DENISE ANNE MURRAY RN PHN Individual | Registered Nurse | 311 WINSTON ST LOS ANGELES MISSON COMMUNITY CLINIC LOS ANGELES, CA 90013 (213) 893-1960 |
| 1407982689 | MR. KYLE VIVO PA-C Individual | Physician Assistant (Medical) | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 |
| 1104010479 | SUSAN K FUENTES RN,MSN Individual | Registered Nurse | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 |
| 1851536874 | DR. JOEL SEMMES MICKELWAIT DDS Individual | Dentist | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 839-1960 |
| 1487895728 | GINA JONES LCSW Individual | Social Worker (Clinical) | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 |
| 1306279054 | DR. NEENA KIRAN PATEL D.M.D Individual | Dentist | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 |
| 1457684870 | JANE IM NP Individual | Nurse Practitioner (Family) | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 |
| 1821337619 | MISS SHANNON MELANIA FERNANDO FNP Individual | Nurse Practitioner (Family) | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 |
| 1912273327 | MRS. PATRICIA RUTH ODDIE APRN Individual | Nurse Practitioner (Adult Health) | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 |
| 1093188765 | REBEKAH MICHELLE NGUYEN Individual | Physician Assistant | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 |
| 1851653059 | DR. MARLA KRYSTEEN STUMP POTTER M.D. Individual | Family Medicine | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 |
| 1952764680 | JUDITH MBEWO FOYABO Individual | Nurse Practitioner (Family) | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 |
| 1972056182 | NICOLE ENRIQUE Individual | Counselor (Mental Health) | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 |
| 1619420452 | EURICE LEE M.A. Individual | Student in an Organized Health Care Education/Training Program | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 |
| 1891248514 | GABRIEL LOWE M.A. Individual | Student in an Organized Health Care Education/Training Program | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 |
| 1275076606 | BRIANA PAXTON PA-C Individual | Physician Assistant | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 225-2665 |
| 1962900498 | MISS KARI MARIE FISH FNP-C Individual | Nurse Practitioner (Family) | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 |
| 1124479860 | KATELIN DOUBLE M.A. Individual | Psychologist | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 |
| 1639393366 | DR. KALAKI MARKS CLARKE M.D. Individual | Family Medicine | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 |
| 1457734014 | ALVIN CHUNG NING TAN O.D. Individual | Optometrist | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447891536, enumerated in the NPI registry as an "individual" on October 01, 2019
The provider is located at 311 Winston St Los Angeles, Ca 90013 and the phone number is (213) 893-1960
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
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 October 01, 2019. 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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