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DR. HYONG JOON KIM
NPI 1245578483
Dentist - General Practice in Lake Elsinore, CA

Active since January 23, 2013PECOS Enrolled
30195 FRASER DR, LAKE ELSINORE, CA 92530(951) 252-2720(760) 414-3892 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Hyong Joon Kim NPPES

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

DR. HYONG JOON KIM (NPI 1245578483) is an individual general practice provider in Lake Elsinore, California, licensed in California (62103) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1245578483
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. HYONG JOON KIM
Location Address30195 FRASER DRLake Elsinore, CA 92530-7006
Mailing Address1000 Vale Terrace DrVista, CA 92084-5218 · (844) 308-5003 · Fax (760) 414-3892
Phone(951) 252-2720
Fax(760) 414-3892
Sole ProprietorNo
Enumeration DateJanuary 23, 2013
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1245578483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 62103
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
30195 FRASER DR, Lake Elsinore, CA 92530
Open in Google Maps ↗

Secondary Practice Locations 6

Location 1950 Civic Center DrVista, CA 92083-5208 · Phone (760) 439-4839 · Fax (760) 414-3892
Location 21000 Vale Terrace DrVista, CA 92084-5218 · Phone (760) 631-5000 · Fax (760) 414-3892
Location 31910 Mission Ave Ste 4Oceanside, CA 92058-7129 · Phone (760) 631-5000 · Fax (760) 414-3885
Location 4201 S Harbor BlvdLA Habra, CA 90631-5654 · Phone (562) 264-6000 · Fax (760) 414-3892
Location 54700 N River RdOceanside, CA 92057-6043 · Phone (760) 631-5000 · Fax (760) 414-3892
Location 6815 College Blvd Ste 106Oceanside, CA 92057-6261 · Phone (760) 306-4466 · Fax (760) 414-3885

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hyong Joon Kim 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92530 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
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 8

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

ASHLY ANN VILLARREAL
Social Worker (Clinical)
30195 FRASER DR
LAKE ELSINORE, CA 92530
Riverside County (760) 631-5000
IMELDA GUTIERREZ-HUNT LCSW
Social Worker (Clinical)
30195 FRASER DR
LAKE ELSINORE, CA 92530
Riverside County (951) 252-2720
DR. CESAR AUGUSTO MAVILA D.C.
Chiropractor
30195 FRASER DR
LAKE ELSINORE, CA 92530
Riverside County (844) 308-5003
CARLA PATRICIA CAMPO DDS
Dentist
30195 FRASER DR
LAKE ELSINORE, CA 92530
Riverside County (951) 252-2720
VISTA COMMUNITY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
30195 FRASER DR
LAKE ELSINORE, CA 92530
Riverside County (760) 631-5000
MS. GAIL ANN MC CABE LCSW
Social Worker (Clinical)
30195 FRASER DR
LAKE ELSINORE, CA 92530
Riverside County (951) 252-2720
DR. CLINT KETCHEL M.D.
Family Medicine
30195 FRASER DR
LAKE ELSINORE, CA 92530
Riverside County (951) 252-2720
MRS. OLIVIA DEL VALLE RDH
Dental Hygienist
30195 FRASER DR
LAKE ELSINORE, CA 92530
Riverside County (951) 252-2720

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 Hyong Joon Kim's NPI number?

The NPI number for Hyong Joon Kim is 1245578483. It was assigned to this individual provider in the NPPES registry on January 23, 2013.

Where is Hyong Joon Kim located?

Hyong Joon Kim practices at 30195 Fraser Dr, Lake Elsinore, CA 92530. The listed phone number is (951) 252-2720.

What is Hyong Joon Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Hyong Joon Kim enrolled in Medicare?

Yes. Hyong Joon Kim is registered in the Medicare PECOS enrollment system.

What insurance does Hyong Joon Kim accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Hyong Joon 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 Hyong Joon Kim was last updated on June 12, 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.