DR. STELLA JIN KIM M.D.
NPI 1306001391
Psychiatry & Neurology - Psychiatry in Corona, CA

Active since July 19, 2008PECOS EnrolledAccepts Medicare Assignment
2055 KELLOGG AVE, CORONA, CA 92879(951) 248-4000 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2021, Aug 7, 2020, Jan 17, 2019 (3 updates tracked since 2019).

About Dr. Stella Jin Kim M.d. NPPES

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

DR. STELLA JIN KIM M.D. (NPI 1306001391) is an individual psychiatry provider in Corona, California, licensed in California (A103434) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2006).

NPPES Registry Identity

NPI1306001391
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. STELLA JIN KIMCredential: M.D.
Location Address2055 KELLOGG AVECorona, CA 92879-3111
Mailing Address2055 Kellogg AveCorona, CA 92879-3111 · (951) 248-4000
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2006
Enumeration DateJuly 19, 2008
Last NPPES UpdateDecember 1, 20213 updates tracked since enumeration
NPPES CertifiedAugust 7, 2020
NPI 1306001391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · A103434
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2055 KELLOGG AVE, Corona, CA 92879

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Stella Jin Kim M.d. 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 ID6305033788
PECOS Enrollment IDI20101210000564
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 92879 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
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
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 20

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

Pharmacist
2055 KELLOGG AVE
CORONA, CA 92879
Pediatrics
2055 KELLOGG AVE
CORONA, CA 92879
Marriage & Family Therapist
2055 KELLOGG AVE, 2ND FLOOR
CORONA, CA 92879
Marriage & Family Therapist
2055 KELLOGG AVE
CORONA, CA 92879
Social Worker (Clinical)
2055 KELLOGG AVE
CORONA, CA 92879
Social Worker (Clinical)
2055 KELLOGG AVE
CORONA, CA 92879
Respiratory Therapist, Registered
2055 KELLOGG AVE
CORONA, CA 92879
Obstetrics & Gynecology
2055 KELLOGG AVE
CORONA, CA 92879

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 Stella Kim's NPI number?

The NPI number for Stella Kim is 1306001391. It was assigned to this individual provider in the NPPES registry on July 19, 2008.

Where is Stella Kim located?

Stella Kim practices at 2055 Kellogg Ave, Corona, CA 92879. The listed phone number is (951) 248-4000.

What is Stella Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Stella Kim enrolled in Medicare?

Yes. Stella 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.

When was this NPI record last updated?

The NPPES record for Stella Kim was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.