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

Jeong Mi Kim, RN, CRNA

Individual provider Registered Nurse · NPI 1568756229

Jeong Mi Kim, RN, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Loma Linda, California. Qualified in 2011, 15 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California, New York and Pennsylvania.

Years since qualifying
15
Licensed in
CA, NY, PA
In the registry since
2011
Specialties on file
4
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

11234 Anderson St
Loma Linda, CA 92354-2804
Phone: (866) 436-2098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 660703 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 5349730 (NY)
Registered Nurse Taxonomy 163W00000X · Licence RN596280 (PA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 88733 (PA)

Record details

NPI number1568756229
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , CRNA
Sole proprietorNo
NPI enumeratedMay 30, 2011
Last updated in NPPESDecember 6, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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