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

Ji Eun Kim, PA-C

Individual provider Physician Assistant · NPI 1386065092

Ji Eun Kim, PA-C is a Physician Assistant in Los Angeles, California. Qualified in 2013, 13 years ago. Practices with Mayo Clinic, a 4,796-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California, Florida, Minnesota and Pennsylvania and 1 more.

Years since qualifying
13
Licensed in
CA, FL, MN, PA, WI
In the registry since
2013
Specialties on file
5
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

1500 San Pablo St Fl 4
Los Angeles, CA 90033-5313
Phone: (323) 442-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4367 Nw American Ln, Lake City, FL 32055-4828 — (386) 758-6094
  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511
  • 1222 E Woodland Ave, Barron, WI 54812-1765 — (715) 537-3166

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA67248 (CA)
Physician Assistant Taxonomy 363A00000X · Licence MA056549 (PA)
Physician Assistant Taxonomy 363A00000X · Licence PA9107704 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 13716 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 3934 (WI)

Record details

NPI number1386065092
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 23, 2013
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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