Jae Yoon Kim
Jae Yoon Kim is a Podiatry in South San Francisco, California. Graduated from California School of Podiatric Medicine in 2021, 5 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 5
- Trained at
- California School of Podiatric Medicine
- Licensed in
- OH
- In the registry since
- 2021
- Specialties on file
- 4
Practice location Address checks out
1200 El Camino RealSouth San Francisco, CA 94080-3299
Phone: (650) 742-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X · Licence 36.004128 (OH) |
|---|---|
| Podiatric Clinic/Center | Taxonomy 261QP1100X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
| Podiatrist | Taxonomy 213E00000X · Licence 36.004128 (OH) |
Record details
| NPI number | 1013595107 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 30, 2021 |
| Last updated in NPPES | September 30, 2025 |
| Certification date | September 30, 2025 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | CALIFORNIA SCHOOL OF PODIATRIC MEDICINE |
| Graduated | 2021 (5 years in practice) |
| Group practice | Permanente Medical Group Inc — 10941 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |