Jae Rock Shim, CRNA - Medicare in Los Angeles, CA

Jae Rock Shim, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Los Angeles, California. His current practice location is 1300 N Vermont Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 413-3000.

Jae Rock Shim is licensed to practice in California (license number 95001105) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477017275.

Contact Information

Jae Rock Shim, CRNA
1300 N Vermont Ave,
Los Angeles, CA 90027-6098
(213) 413-3000
Not Available

Map and Direction




Provider's Profile

Full NameJae Rock Shim
GenderMale
Speciality
Experience Years
Location1300 N Vermont Ave, Los Angeles, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jae Rock Shim attended and graduated from in
  NPI Data:
  • NPI Number: 1477017275
  • Provider Enumeration Date: 01/25/2019
  • Last Update Date: 08/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Jae Rock Shim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477017275NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN686691 (Pennsylvania)Secondary
367500000XNurse Anesthetist, Certified Registered 209.018963 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered 95001105 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jae Rock Shim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jae Rock Shim, CRNA
Po Box 25033,
Santa Ana, CA 92799-5033

Ph: (714) 347-1000
Jae Rock Shim, CRNA
1300 N Vermont Ave,
Los Angeles, CA 90027-6098

Ph: (213) 413-3000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Los Angeles, CA

Mrs. Cathy Kiem Ngo, CRNA
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Phone: 323-442-7400    Fax: 323-442-7411
Brandon Lee,
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Practice Location: 1401 S Grand Ave, Los Angeles, CA 90015
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Mrs. Dina Marie Hunt, CRNA
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Phone: 323-442-7400    
Tahira Ayanna Smith-aifesehi, CRNA
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Medicare: Not Enrolled in Medicare
Practice Location: 1200 N State St, Los Angeles, CA 90033
Phone: 323-226-2622    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.