SORI KIM NP
NPI 1083363980
Nurse Practitioner - Family in Loma Linda, CA
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
Specialties & Licenses 2
Accepted Insurance
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Sori Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loma Linda, CA 92350
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
San Bernardino, CA 92408
- Reassigned Medicare billing, California enrollment
- 455 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 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.
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.
LOMA LINDA, CA 92350
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 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.
Where is Sori Kim located?
Sori Kim practices at 11234 Anderson St # Mc-1516, Loma Linda, CA 92350. The listed phone number is (909) 558-4000.
What is Sori Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sori Kim enrolled in Medicare?
Yes. Sori 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 organizations bill Medicare for Sori Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sori Kim reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Sac Health System (San Bernardino, CA). Each 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 Sori Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sori Kim accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Sori Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 3 months 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.
# Sori Kim, NP · NPI 1083363980
Family physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since March 20, 2022.
## Identity
- **NPI:** 1083363980 (Entity type: Individual)
- **Enumerated:** March 20, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95026540 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST # MC-1516, Loma Linda, CA 92350-1716
- **Phone:** (909) 558-4000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Faculty Physicians And Surgeons Of Llusm (NPI 1477503407, Loma Linda, CA); Sac Health System (NPI 1013935915, San Bernardino, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083363980) · Data from the CMS NPPES public registry.