JASON YOUNG KIM MD
NPI 1730683269
Anesthesiology - Pain Medicine in Huntington Beach, CA
NPI Status: Active since March 20, 2018
Contact Information
17822 BEACH BLVD STE 300
HUNTINGTON BEACH, CA
ZIP 92647
Phone: (714) 375-1122
- Individual
- Male
- Years of Experience 8
- Anesthesiology
- Pain Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JASON KIM
This page provides the complete NPI Profile along with additional information for Jason Kim, a provider established in Huntington Beach, California with a medical specialization in Anesthesiology, focusing in pain medicine and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1730683269 assigned on March 2018. The practitioner's primary taxonomy code is 207LP2900X with license number A180515 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1730683269
- Provider Name
- JASON YOUNG KIM MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 17822 BEACH BLVD STE 300 HUNTINGTON BEACH, CA 92647
- Location Phone
- (714) 375-1122
- Mailing Address
- 17822 BEACH BLVD STE 300 HUNTINGTON BEACH, CA 92647
- Mailing Phone
- (714) 375-1122
- Mailing Fax
- Medical School Name
- OTHER
- Graduation Year
- 2018
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-20-2018
- Last Update Date
- 09-27-2023
- Code Navigator
Location Map
Secondary Locations
- 1110 W Town and Country Rd Unit 446
Orange, CA 92868
(714) 883-6751
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
Anesthesiology Pain Medicine
- Taxonomy Code
- 207LP2900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A180515
- License State
- CA
- Taxonomy Description
- An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Jason Kim is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Jason 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
PECOS PAC ID: 3375888233
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230703001078
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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 | 7 | 3 | 0 | 6 | 8 | 3 | 2 | 6 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 6 | 0 | 12 | 8 | 6 | 2 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 6 + 0 + 1 + 2 + 8 + 6 + 2 + 1 + 2 + 24 = 61 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 61 = 9 | 9 |
The NPI number 1730683269 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1952739021 | MARIA JONAH BULANDOS NP Individual | Nurse Practitioner (Family) | 17822 BEACH BLVD STE 300 HUNTINGTON BEACH, CA 92647 (323) 243-1170 |
1073831160 | SHAHBAZ QAVI MD Individual | Anesthesiology (Pain Medicine) | 17822 BEACH BLVD STE 300 HUNTINGTON BEACH, CA 92647 (714) 375-1122 |
1801207014 | DR. ROHIT SANJEEV AIYER M.D. Individual | Pain Medicine (Pain Medicine) | 17822 BEACH BLVD STE 300 HUNTINGTON BEACH, CA 92647 (714) 375-1122 |
1003691957 | DR. WANDA JEANETTE DEQUARDO DNP, APRN, FNP-BC Individual | Nurse Practitioner | 17822 BEACH BLVD STE 300 HUNTINGTON BEACH, CA 92647 (714) 375-1122 |
1740573120 | DR. ARASH ESMAILZADEGAN M.D. Individual | Anesthesiology (Pain Medicine) | 17822 BEACH BLVD STE 300 HUNTINGTON BEACH, CA 92647 (714) 375-1122 |
1770945883 | WESTSIDE PAIN MANAGEMENT, INC. Organization | Anesthesiology (Pain Medicine) | 17822 BEACH BLVD STE 300 HUNTINGTON BEACH, CA 92647 (714) 375-1122 |
1992538565 | SHAMA V PATEL NP-C Individual | Nurse Practitioner | 17822 BEACH BLVD STE 300 HUNTINGTON BEACH, CA 92647 (714) 375-1122 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730683269, enumerated in the NPI registry as an "individual" on March 20, 2018
The provider is located at 17822 Beach Blvd Ste 300 Huntington Beach, Ca 92647 and the phone number is (714) 375-1122
The provider's speciality is Anesthesiology with taxonomy code 207LP2900X with a focus in Pain Medicine
The provider has more than 8 years of experience.
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 March 20, 2018. 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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