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

Jae K Kim, MD

Individual provider Internal Medicine Physician · NPI 1083642839

Jae K Kim, MD is an Internal Medicine in Fullerton, California. Graduated from Temple University School of Medicine in 1999, 27 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Trained at
Temple University School of Medicine
Licensed in
CA
In the registry since
2006
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

100 E Valencia Mesa Dr Ste 311
Fullerton, CA 92835-3800
Phone: (714) 446-5590
Fax: (714) 446-5592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A75520 (CA)

Record details

NPI number1083642839
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020
Mailing address100 E Valencia Mesa Dr Ste 311, Fullerton, CA 92835-3800

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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