Jerry Kim MD Inc
NPI 1093452278ActiveOrganization· Surgery, Vascular Surgery· Pomona, CA
Surgery, Vascular Surgery in Pomona, California, registered in NPPES in May 2022. The authorized official on file is Jerry J. Kim, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093452278 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2022 |
| Last updated in NPPES | Aug 1, 2023 |
| Certified by provider | Aug 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
| Surgery | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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