RICHARD DAE JIN KIM MD, MBA
NPI 1265096788
Ophthalmology in Loma Linda, CA
About Richard Dae Jin Kim Md, Mba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD DAE JIN KIM MD, MBA (NPI 1265096788) is an individual ophthalmology provider in Loma Linda, California, licensed in California (A183313) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bakersfield, and is a graduate of Loma Linda University School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Richard Dae Jin Kim Md, Mba 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 Reassignment
Medicare enrollment records show Richard Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pasadena, CA 91105
- Reassigned Medicare billing, California enrollment
- 83 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.
Areas of Expertise CMS Part B claims 19
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92354 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Richard Kim's NPI number?
The NPI number for Richard Kim is 1265096788. It was assigned to this individual provider in the NPPES registry on April 30, 2019.
Where is Richard Kim located?
Richard Kim practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-2182.
What is Richard Kim's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Richard Kim enrolled in Medicare?
Yes. Richard 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 Richard Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Kim reassigns Medicare benefits to Retina Institute Of California Medical Group, A California Medical Par (Pasadena, 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 Richard Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Kim accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Richard 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 Richard Kim was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Richard Dae Jin Kim, MD, MBA · NPI 1265096788
Ophthalmology physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since April 30, 2019.
## Identity
- **NPI:** 1265096788 (Entity type: Individual)
- **Enumerated:** April 30, 2019
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** A183313 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-2182
## 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:** Retina Institute Of California Medical Group, A California Medical Par (NPI 1760541569, Pasadena, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** March 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1265096788) · Data from the CMS NPPES public registry.