Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason D. Kim, PA-C

Individual provider Physician Assistant · NPI 1770468431

Jason D. Kim, PA-C is a Physician Assistant in Los Angeles, California. Graduated from Mercer University School of Medicine in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Trained at
Mercer University School of Medicine
Licensed in
CA
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1700 E Cesar E Chavez Ave Ste 2500
Los Angeles, CA 90033-2434
Phone: (855) 522-3682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 66917 (CA)

Record details

NPI number1770468431
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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