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JOHN KIM M.D.
NPI 1063484392
Pediatrics in Fresno, CA

Active since February 02, 2006PECOS Enrolled
1593 E GOLDEN VALLEY WAY STE 104, FRESNO, CA 93730(559) 434-4052 Get Directions Write a Review

NPPES record last updated: November 7, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Kim M.d. NPPES

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

JOHN KIM M.D. (NPI 1063484392) is an individual pediatrics provider in Fresno, California, licensed in California (G74910) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063484392
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOHN KIMCredential: M.D.
Location Address1593 E GOLDEN VALLEY WAY STE 104Fresno, CA 93730-3587
Mailing Address1593 E Golden Valley WayFresno, CA 93730-3587 · (559) 434-4052
Phone(559) 434-4052
Sole ProprietorNo
Enumeration DateFebruary 2, 2006
Last NPPES UpdateNovember 7, 2017
✔ NPI 1063484392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G74910
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1593 E GOLDEN VALLEY WAY STE 104, Fresno, CA 93730
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 93730 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 1063484392. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is John Kim located?

John Kim practices at 1593 E Golden Valley Way Ste 104, Fresno, CA 93730. The listed phone number is (559) 434-4052.

What is John Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is John Kim enrolled in Medicare?

Yes. John Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Kim was last updated on November 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.