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DR. JOSHUA HO YOUNG KIM MD
NPI 1104409747
Student in an Organized Health Care Education/Training Program in Hemet, CA

Active since May 02, 2021PECOS EnrolledAccepts Medicare Assignment
1117 E DEVONSHIRE AVE, HEMET, CA 92543(951) 652-2811 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Joshua Ho Young Kim Md NPPES

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

DR. JOSHUA HO YOUNG KIM MD (NPI 1104409747) is an individual student in an organized health care education/training program in Hemet, California and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104409747
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JOSHUA HO YOUNG KIMCredential: MD
Location Address1117 E DEVONSHIRE AVEHemet, CA 92543-3083
Mailing Address2564 Occidental CirRiverside, CA 92507-2772 · (929) 343-2777
Phone(951) 652-2811
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 2, 2021
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedMay 2, 2021
✔ NPI 1104409747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1117 E DEVONSHIRE AVE, Hemet, CA 92543
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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

Dr. Joshua Ho Young Kim Md 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 ID5890228464
PECOS Enrollment IDI20241104004088
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.

Medicare Billing Reassignment

Medicare enrollment records show Joshua Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
50 mi
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333460 (714) 279-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. SYEDA QURRAT-UL-AIN KAIFEE DO
Student in an Organized Health Care Education/Training Program
1117 E DEVONSHIRE AVE
HEMET, CA 92543
Riverside County (951) 652-2811
CHINELO ANAKOR MD
Student in an Organized Health Care Education/Training Program
1117 E DEVONSHIRE AVE
HEMET, CA 92543
Riverside County (951) 652-2811
CATHERINE FERGUSON SIMS M.D
Anesthesiology
1117 E DEVONSHIRE AVE
HEMET, CA 92543
Riverside County (951) 929-6290
SAAD FAROOQ D.O.
Radiology (Diagnostic Radiology)
1117 E DEVONSHIRE AVE
HEMET, CA 92543
Riverside County (951) 765-4910
DR. JARED MOLITORIS MD
Student in an Organized Health Care Education/Training Program
1117 E DEVONSHIRE AVE
HEMET, CA 92543
Riverside County (951) 652-2811
VALLEY PATHOLOGY MEDICAL GROUP
Clinical Medical Laboratory
1117 E DEVONSHIRE AVE
HEMET, CA 92543
Riverside County (951) 652-2811
GRANLEE NGUYEN MD
Student in an Organized Health Care Education/Training Program
1117 E DEVONSHIRE AVE
HEMET, CA 92543
Riverside County (951) 652-2811
DR. ANDREW MARC HARRISON MD, PHD
Student in an Organized Health Care Education/Training Program
1117 E DEVONSHIRE AVE
HEMET, CA 92543
Riverside County (951) 652-2811

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 Joshua Kim's NPI number?

The NPI number for Joshua Kim is 1104409747. It was assigned to this individual provider in the NPPES registry on May 2, 2021.

Where is Joshua Kim located?

Joshua Kim practices at 1117 E Devonshire Ave, Hemet, CA 92543. The listed phone number is (951) 652-2811.

What is Joshua Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Joshua Kim enrolled in Medicare?

Yes. Joshua 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 Joshua Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, 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 Joshua 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 Joshua Kim was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.