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

Jackson Peter Kim, MD

Individual provider Nephrology Physician · NPI 1538600952

Jackson Peter Kim, MD is a Nephrology in Stanford, California. Qualified in 2017, 9 years ago. Practices with Stanford Health Care, a 3,085-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
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

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A158667 (CA)

Record details

NPI number1538600952
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 17, 2017
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024
Mailing address300 Pasteur Dr, Stanford, CA 94305-2200

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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