YOHANAN KIM
NPI 1265965339
Otolaryngology - Plastic Surgery within the Head & Neck in Riverside, CA

Q: What is Yohanan Kim's NPI number?

The NPI number for Yohanan Kim is 1265965339. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Q: What is Yohanan Kim's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Q: When was this NPI record last updated?

The NPPES record for Yohanan Kim was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 April 06, 2017PECOS EnrolledAccepts Medicare Assignment

85.18/100

CMS Quality Rating

6405 DAY ST, RIVERSIDE, CA 92507(951) 697-5570(951) 697-5596 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2024, Aug 16, 2022 (2 updates tracked since 2022).

On this page

About Yohanan Kim NPPES

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

YOHANAN KIM (NPI 1265965339) is an individual plastic surgery within the head & neck provider in Riverside, California, licensed in California (A157124) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Loma Linda, and is a graduate of Loma Linda University School Of Medicine (2017).

NPPES Registry Identity

NPI1265965339

Entity TypeIndividualMale

Primary Taxonomy207YX0007X

Provider Legal NameYOHANAN KIM

Location Address6405 DAY STRiverside, CA 92507-0901

Mailing Address6405 Day StRiverside, CA 92507-0901 · (951) 697-5570 · Fax (951) 697-5596

Phone(951) 697-5570

Fax(951) 697-5596

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2017

Enumeration DateApril 6, 2017

Last NPPES UpdateApril 14, 20252 updates tracked since enumeration

NPPES CertifiedApril 14, 2025

✔ NPI 1265965339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

License✔ Licensed in CA · A157124

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License A157124 (CA)

6405 DAY ST, Riverside, CA 92507

Open in Google Maps ↗

Secondary Practice Location 1

Location 111234 Anderson St, Loma Linda University Health, OtolaryngologyLoma Linda, CA 92350-1716 · Phone (909) 558-8558

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

Yohanan Kim 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 ID5799163614

PECOS Enrollment IDI20220606002200

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 Reassignments

Medicare enrollment records show Yohanan Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Riverside Medical Clinic, Inc

Same address

Family Medicine

6405 DAY ST
Riverside, CA 92507

Reassigned Medicare billing, California enrollment
349 clinicians in this Medicare group

NPI 1780782557 (951) 683-6370

Faculty Physicians And Surgeons Of Llusm

1.0 mi

Ophthalmology

23000 ATLANTIC CIR
Moreno Valley, CA 92553

Reassigned Medicare billing, California enrollment
2,584 clinicians in this Medicare group

NPI 1437555612 (909) 558-3111

Southern California Permanente Medical Group

11 mi

Health Maintenance Organization

10800 MAGNOLIA AVE
Riverside, CA 92505

Reassigned Medicare billing, California enrollment
5,228 clinicians in this Medicare group

NPI 1316979834 (866) 984-7483

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 9

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.

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

80 services60 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

73 services55 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

71 services71 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

66 services46 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

62 services48 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

48 services48 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.81

Promoting Interoperability

Improvement Activities

Cost

64.54

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.

MARJORIE TERESA WIMMER MD

Internal Medicine