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

Jae Rock Shim, CRNA

Individual provider Registered Nurse · NPI 1477017275

Jae Rock Shim, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Los Angeles, California. Qualified in 2018, 8 years ago. Practices with Hp Anesthesia Inc, a 35-clinician group and accepts Medicare assignment. Licensed in California, Illinois and Pennsylvania.

Years since qualifying
8
Licensed in
CA, IL, PA
In the registry since
2019
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1300 N Vermont Ave
Los Angeles, CA 90027-6098
Phone: (213) 413-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95001105 (CA)
Registered Nurse Taxonomy 163W00000X · Licence RN686691 (PA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 209.018963 (IL)

Record details

NPI number1477017275
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 25, 2019
Last updated in NPPESAugust 2, 2022
Certification dateMay 21, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Hp Anesthesia Inc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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