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

Mr. Jeffrey Kim

Individual provider Family Nurse Practitioner · NPI 1255937363

Mr. Jeffrey Kim is a Nurse Practitioner in Duarte, California. Qualified in 2020, 6 years ago. Practices with Integrated Rehab Consultants California Inc, a 38-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

802 Buena Vista St
Duarte, CA 91010-1702
Phone: (872) 231-3162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95015837 (CA)

Record details

NPI number1255937363
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 5, 2020
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing addressPo Box 7410882, Chicago, IL 60674-0882

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Integrated Rehab Consultants California Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Duarte