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

Ji Ah Kim, CRNA

Individual provider Critical Care Medicine Registered Nurse · NPI 1770097362

Ji Ah Kim, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Los Angeles, California. Qualified in 2017, 9 years ago. Practices with Regents of the University Of, a 233-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Virginia.

Years since qualifying
9
Licensed in
CA, VA
In the registry since
2017
Specialties on file
4
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
Fax: (323) 666-2939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 The City Dr S, Orange, CA 92868-3201 — (714) 880-7812

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95001716 (CA)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 0001214465 (VA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 95001716 (CA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 0024175781 (VA)

Record details

NPI number1770097362
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 20, 2017
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Regents Of The University Of — 233 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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