JESSICA KIM (PA-C, D.C., L.AC) – Physician Assistant, NPI 1285908673
Preparing for Medicare enrollment?
Use our CMS-855 prep checklist: which form applies (855I, 855O, or 855A), readiness score, NPPES field map, and Section 12 documents. Reassignment uses CMS-855I Section 4F—not the discontinued CMS-855R form.
Open Medicare 855 Prep tool →Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for JESSICA KIM (PA-C, D.C., L.AC)
1125 E 16th St
Suite 4
Upland, CA 917849179
Phone: (909) 297-3531
Type: Location
2100 PLAZA DEL AMO UNIT 112
TORRANCE, CA 905013406
Phone:
Type: Mailing
PO BOX 512185
LOS ANGELES, CA 900510185
Phone:
Type: Mailing
1601 AVOCADO AVE
NEWPORT BEACH, CA 926607798
Phone: (949) 763-2204
Fax: (949) 536-8036
Type: Location
1125 E 16TH ST
SUITE 4
UPLAND, CA 917849179
Phone: (909) 297-3531
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $272.
Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($157).
Total Amount
$272
General + Research + Ownership
Payments
12
Total payment records
General Amount
$272
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $157 |
| Pharmacyclics LLC, an AbbVie Company | $93 |
| AstraZeneca Pharmaceuticals LP | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91784)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.