MI LA KIM FNP
NPI 1295047058
Nurse Practitioner - Family in Yucaipa, CA

Q: What is Mi La Kim's NPI number?

The NPI number for Mi La Kim is 1295047058. It was assigned to this individual provider in the NPPES registry on July 9, 2010.

Q: What is Mi La Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mi La Kim was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 09, 2010PECOS Enrolled

33758 YUCAIPA BLVD, YUCAIPA, CA 92399(909) 795-9747 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mi La Kim Fnp NPPES

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

MI LA KIM FNP (NPI 1295047058) is an individual family provider in Yucaipa, California, licensed in California (19524) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Riverside.

NPPES Registry Identity

NPI1295047058

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMI LA KIMCredential: FNP

Location Address33758 YUCAIPA BLVDYucaipa, CA 92399

Mailing AddressPo Box 10069San Bernardino, CA 92423-0069 · (909) 335-4188

Phone(909) 795-9747

Sole ProprietorNo

Enumeration DateJuly 9, 2010

Last NPPES UpdateOctober 22, 2019

✔ NPI 1295047058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 19524

33758 YUCAIPA BLVD, Yucaipa, CA 92399

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Secondary Practice Location 1

Location 12190 Market StRiverside, CA 92501 · Phone (951) 213-3300

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mi La Kim Fnp 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 Reassignments

Medicare enrollment records show Mi La Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Morongo Medical Group Inc

6.2 mi

Internal Medicine

57725 29 PALMS HWY, STE 401
Yucca Valley, CA 92284

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

NPI 1972644516 (760) 228-1929

Beaver Medical Group P C

7.0 mi

Family Medicine

2 WEST FERN AVENUE
Redlands, CA 92373

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

NPI 1649503319 (909) 793-3311

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 4

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.

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.

99 services57 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

26 services21 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.

22 services22 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.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92399 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

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

TONYA ANN YONEY DO

Family Medicine