Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jerry J Kim, MD

Individual provider Vascular Surgery Physician · NPI 1912295510

Dr. Jerry J Kim, MD is a General Surgery in Pomona, California. Graduated from Baylor College of Medicine in 2011, 15 years ago. Practices with Jerry Kim MD Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Trained at
Baylor College of Medicine
Licensed in
CA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

350 Vinton Ave Ste 202
Pomona, CA 91767-3000
Phone: (909) 909-1148
Fax: (909) 363-4954
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence A124130 (CA)
Surgery Physician Taxonomy 208600000X · Licence A124130 (CA)

Record details

NPI number1912295510
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2011
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Jerry Kim Md Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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