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

Jay H. Kim, MD

Individual provider Internal Medicine Physician · NPI 1811984123

Jay H. Kim, MD is a Rheumatology in Fullerton, California. Qualified in 1991, 35 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
35
Licensed in
CA
In the registry since
2005
Specialties on file
2
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

2141 N Harbor Blvd Ste 25000
Fullerton, CA 92835-3830
Phone: (714) 626-8650
Fax: (714) 626-8689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence A53285 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A532285 (CA)

Record details

NPI number1811984123
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESNovember 5, 2021
Certification dateNovember 5, 2021
Mailing address2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835-3830

Medicare enrollment

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

Medicare specialtyRHEUMATOLOGY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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