SORI KIM NP - NPI 1083363980 - Nurse Practitioner in Loma Linda, CA

Q: What is Sori Kim's NPI number?

The NPI number for Sori Kim is 1083363980. It was assigned to this individual provider in the NPPES registry on March 20, 2022.

Q: What is Sori Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sori Kim was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.

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About Sori Kim Np NPPES

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

SORI KIM NP (NPI 1083363980) is an individual family provider in Loma Linda, California, licensed in California (95026540) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083363980

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSORI KIMCredential: NP

Location Address11234 ANDERSON ST # MC-1516Loma Linda, CA 92350-1716

Mailing Address11234 Anderson St # Mc-1516Loma Linda, CA 92350-1716 · (909) 558-4000

Phone(909) 558-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 20, 2022

Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1083363980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in CA · 95026540✔ Licensed in TN · 31318

Also ListedRegistered NurseTaxonomy 163W00000X · License 193895 (TN), 95281041 (CA)

11234 ANDERSON ST # MC-1516, Loma Linda, CA 92350

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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 and accepts Medicare assignment

Sori Kim Np 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 ID5991232886

PECOS Enrollment IDI20241216003813

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 92350 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

Other Providers at the Same Location NPPES 6

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

DR. FAISAL ANSARI DO

Internal Medicine