JOHN Y KIM M.D.
NPI 1023049301
Otolaryngology in Loma Linda, CA

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
11370 ANDERSON ST, SUITE 2100, LOMA LINDA, CA 92354(909) 558-2822 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Y Kim M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN Y KIM M.D. (NPI 1023049301) is an individual otolaryngology provider in Loma Linda, California, licensed in California (A75393) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1994).

NPPES Registry Identity

NPI1023049301
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJOHN Y KIMCredential: M.D.
Location Address11370 ANDERSON ST, SUITE 2100Loma Linda, CA 92354-3450
Mailing Address54701 File NumberLos Angeles, CA 90074-4701 · (909) 558-3111
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1994
Enumeration DateJuly 5, 2006
Last NPPES UpdateNovember 29, 2021
NPI 1023049301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in CA · A75393
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
11370 ANDERSON ST, Loma Linda, CA 92354

Other Identifiers 1

Medicaid00A753930CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Y Kim M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557329596
PECOS Enrollment IDI20041222000475
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
11370 ANDERSON ST, SUITE 1100
LOMA LINDA, CA 92354
Internal Medicine (Gastroenterology)
11370 ANDERSON ST, STE 3150
LOMA LINDA, CA 92354
Internal Medicine
11370 ANDERSON ST
LOMA LINDA, CA 92354
Psychiatry & Neurology (Neurology)
11370 ANDERSON ST, SUITE 2400
LOMA LINDA, CA 92354
Pediatrics (Neonatal-Perinatal Medicine)
11370 ANDERSON ST, STE B-100
LOMA LINDA, CA 92354
Dermatology (MOHS-Micrographic Surgery)
11370 ANDERSON ST, STE 2600
LOMA LINDA, CA 92354
Pathology (Anatomic Pathology)
11370 ANDERSON ST, STE 2960
LOMA LINDA, CA 92354
Internal Medicine (Medical Oncology)
11370 ANDERSON ST
LOMA LINDA, CA 92354

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Kim's NPI number?

The NPI number for John Kim is 1023049301. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is John Kim located?

John Kim practices at 11370 Anderson St Suite 2100, Loma Linda, CA 92354. The listed phone number is (909) 558-2822.

What is John Kim's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is John Kim enrolled in Medicare?

Yes. John Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for John Kim was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.