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

Jeong Mi Kim, RN, CRNA

Individual provider Registered Nurse · NPI 1568756229

Jeong Mi Kim, RN, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Loma Linda, California. Qualified in 2011, 15 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California, New York and Pennsylvania.

Years since qualifying
15
Licensed in
CA, NY, PA
In the registry since
2011
Specialties on file
4
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

11234 Anderson St
Loma Linda, CA 92354-2804
Phone: (866) 436-2098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 660703 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 5349730 (NY)
Registered Nurse Taxonomy 163W00000X · Licence RN596280 (PA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 88733 (PA)

Record details

NPI number1568756229
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , CRNA
Sole proprietorNo
NPI enumeratedMay 30, 2011
Last updated in NPPESDecember 6, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Colleagues at Southern California Permanente Medical Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 11242 clinicians in the practice; 12 are shown here.

Other providers in Loma Linda