Jisoo Kim
Dentist · San Jose
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Jisoo Kim’s office at (408) 929-9999 to ask if they take your plan before you enroll.
Medicaid work
$1,716 in 2024
Medicaid paid $1,716 for 40 billed services this clinician did in 2024, up to 14 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| Service | 14 | $1,260 |
| Service | 26 | $456 |
| 2024 | 40 | 2 | 14 | $1,716 |
Professional record
- NPI
- 1013796309
- Licence
- CA 109428
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 122300000X (122300000X)
- Mailing address
- 1887 Greenfield Ave Apt 310, Los Angeles, CA, 90025
- NPI first listed
- 2023-09-26
- NPI last updated
- 2023-09-26
- NPI record certified
- 2023-09-26
This is when the NPI record was last certified, not a medical board exam.