DR. STELLA JIN KIM M.D.
NPI 1306001391
Psychiatry & Neurology - Psychiatry in Corona, CA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Stella Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92505
- Reassigned Medicare billing, California enrollment
- 5,228 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.
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.
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.
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.
Which organization bills Medicare for Stella Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stella Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Riverside, 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 Stella Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Stella Jin Kim, M.D. · NPI 1306001391
Psychiatry physician in Corona, California. Individual provider, active in the CMS NPPES registry since July 19, 2008.
## Identity
- **NPI:** 1306001391 (Entity type: Individual)
- **Enumerated:** July 19, 2008
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** A103434 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2055 KELLOGG AVE, Corona, CA 92879-3111
- **Phone:** (951) 248-4000
## 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:** Southern California Permanente Medical Group (NPI 1316979834, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2006
## Record status
- **NPPES last updated:** December 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1306001391) · Data from the CMS NPPES public registry.