JOHN Y KIM M.D.
NPI 1023049301
Otolaryngology in Loma Linda, CA
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show John Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fontana, CA 92335
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1952333460 (California)
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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.
Which organization bills Medicare for John Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# John Y Kim, M.D. · NPI 1023049301
Otolaryngology physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since July 5, 2006.
## Identity
- **NPI:** 1023049301 (Entity type: Individual)
- **Enumerated:** July 5, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** A75393 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11370 ANDERSON ST, SUITE 2100, Loma Linda, CA 92354-3450
- **Phone:** (909) 558-2822
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1689606196, Fontana, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 1994
## Record status
- **NPPES last updated:** November 29, 2021
- **Other identifiers:** Medicaid 00A753930 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1023049301) · Data from the CMS NPPES public registry.