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DANIEL KIM P.A.
NPI 1275813370
Physician Assistant in San Bernardino, CA

Active since August 19, 2011PECOS Enrolled
1505 W. 17TH ST, SAN BERNARDINO, CA 92411(909) 887-6494(909) 887-6043 Get Directions Write a Review

NPPES record last updated: July 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Kim P.a. NPPES

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

DANIEL KIM P.A. (NPI 1275813370) is an individual physician assistant in San Bernardino, California, licensed in California (PA21292) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275813370
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDANIEL KIMCredential: P.A.
Location Address1505 W. 17TH STSan Bernardino, CA 92411-2661
Mailing Address400 N Pepper Ave 205Colton, CA 92324-1801 · (909) 580-6353 · Fax (909) 580-6369
Phone(909) 887-6494
Fax(909) 887-6043
Sole ProprietorNo
Enumeration DateAugust 19, 2011
Last NPPES UpdateJuly 9, 2015
✔ NPI 1275813370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA21292
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1505 W. 17TH ST, San Bernardino, CA 92411
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Kim P.a. 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 92411 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.

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 Daniel Kim's NPI number?

The NPI number for Daniel Kim is 1275813370. It was assigned to this individual provider in the NPPES registry on August 19, 2011.

Where is Daniel Kim located?

Daniel Kim practices at 1505 W. 17th St, San Bernardino, CA 92411. The listed phone number is (909) 887-6494.

What is Daniel Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Daniel Kim enrolled in Medicare?

Yes. Daniel Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Kim was last updated on July 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.