DR. JOHN CHANGHWAN KIM M.D.
NPI 1114102639
Preventive Medicine - Occupational Medicine in San Diego, CA

Q: What is John Kim's NPI number?

The NPI number for John Kim is 1114102639. It was assigned to this individual provider in the NPPES registry on January 3, 2008.

Q: What is John Kim's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Q: When was this NPI record last updated?

The NPPES record for John Kim was last updated on December 17, 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.

Active since January 03, 2008PECOS Enrolled

34800 BOB WILSON DR, NMCSD, SAN DIEGO, CA 92134(619) 532-6400 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. John Changhwan Kim M.d. NPPES

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

DR. JOHN CHANGHWAN KIM M.D. (NPI 1114102639) is an individual occupational medicine provider in San Diego, California, licensed in California (A91661) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114102639

Entity TypeIndividualMale

Primary Taxonomy2083X0100X

Provider Legal NameDR. JOHN CHANGHWAN KIMCredential: M.D.

Location Address34800 BOB WILSON DR, NMCSDSan Diego, CA 92134-1098

Mailing Address2571 Old Quarry Rd, #2023San Diego, CA 92108-2781 · (949) 231-0432

Phone(619) 532-6400

Sole ProprietorNo

Enumeration DateJanuary 3, 2008

Last NPPES UpdateDecember 17, 2021

✔ NPI 1114102639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083X0100X

License✔ Licensed in CA · A91661

Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

34800 BOB WILSON DR, San Diego, CA 92134

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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 (PECOS)

Dr. John Changhwan 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.

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.

Permanente Medical Group Inc

420 mi

Internal Medicine

710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1073606299 (408) 851-1000

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 92134 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 20

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

LORENA MARIE FUJII N.P.

Nurse Practitioner (Pediatrics)