BONNIE Y KIM MD
NPI 1225598691
Pediatrics in Fremont, CA

Q: What is Bonnie Kim's NPI number?

The NPI number for Bonnie Kim is 1225598691. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Q: What is Bonnie Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bonnie Kim was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 22, 2019PECOS Enrolled

3200 KEARNEY ST, FREMONT, CA 94538(510) 490-1222 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2025, May 27, 2023, Mar 22, 2019 (3 updates tracked since 2019).

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About Bonnie Y Kim Md NPPES

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

BONNIE Y KIM MD (NPI 1225598691) is an individual pediatrics provider in Fremont, California, licensed in California (A176888) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1225598691

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameBONNIE Y KIMCredential: MD

Location Address3200 KEARNEY STFremont, CA 94538-2299

Mailing AddressPo Box 276950Sacramento, CA 95827-6950 · (510) 490-1222

Phone(510) 490-1222

Sole ProprietorNo

Enumeration DateMarch 22, 2019

Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1225598691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A176888

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.

3200 KEARNEY ST, Fremont, CA 94538

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Secondary Practice Location 1

Location 12823 Fresno StFresno, CA 93721-1324 · Phone (559) 443-2682 · Fax (559) 443-2681

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bonnie Y Kim Md 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 Bonnie Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation

13 mi

Multi-Specialty

795 EL CAMINO REAL
Palo Alto, CA 94301

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1013950807 (650) 321-4121

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 94538 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

DR. LAKSHMI SRINIVASAN MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)