Jessica Kim, PA-C
Jessica Kim, PA-C is a Surgical Physician Assistant in Montclair, CA, registered under NPI 1003458977.
Getting there
Here is what surrounds this office in Montclair, based on OpenStreetMap data collected Sep 23, 2026. Parking is available about 0.47 mi away.
Getting here and what is nearby
Gas station Chevron 0.38 mi ~8 min
Gas station USA Gasoline 0.38 mi ~8 min
Parking 0.38 mi ~8 min
Parking 0.38 mi ~8 min
Restaurant Burger King 0.39 mi ~8 min
9710 Central Avenue, Montclair 91763
Mo-Sa 06:30-20:00; Su 07:30-20:00
Grocery DG Market 0.40 mi ~9 min
Parking 0.47 mi ~10 min
Restaurant Jack in the Box 0.48 mi ~10 min
Grocery Stater Bros. Markets 0.48 mi ~10 min
9575 Central Avenue, Montclair 91763
Mo-Su 06:00-23:00
Restaurant Domino's 0.49 mi ~10 min
9885 Central Avenue, Montclair 91763
Mo-Th 10:00-24:00; Fr-Sa 10:00-01:00; Su 10:00-24:00
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 57333 | CA | Surgical Physician Assistant primary |
This provider holds licence 57333 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 4688006075
- Enrollment ID
- I20191125000944
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Surgical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AS0400X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003458977 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Oct 11, 2019 |
| Last updated | Jun 29, 2022 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | PA-C |
| Practice address |
4950 SAN BERNARDINO ST STE 200 Montclair, CA 91763 (909) 621-7647 |
| Mailing address |
2731 BRIERHAVEN DR La Crescenta, CA 91214 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 4 | 5 | 8 | 9 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 8 | 5 | 7 | 9 | 5 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.