Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jin Taek Kim, JINKIMPA-C

Individual provider Surgical Physician Assistant · NPI 1952447625

Mr. Jin Taek Kim, JINKIMPA-C is a Physician Assistant in San Francisco, California. Qualified in 2005, 21 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2007
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Practice location Address checks out

400 Parnassus Ave
San Francisco, CA 94143-2202
Phone: (415) 353-2954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA18112 (CA)

Record details

NPI number1952447625
Entity typeIndividual (Type 1)
GenderMale
Credentials JINKIMPA-C
Sole proprietorYes
NPI enumeratedJanuary 30, 2007
Last updated in NPPESFebruary 11, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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