GRACE FOOT AND ANKLE CENTER
NPI 1316665524
Clinic/Center - Podiatric in Rancho Cucamonga, CA

Q: What is Michael J Kim Dpm PC's NPI number?

The NPI number for Michael J Kim Dpm PC is 1316665524. It was assigned to this organization in the NPPES registry on August 15, 2022. The provider is doing business as Grace Foot And Ankle Center.

Q: What is Michael J Kim Dpm PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Active since August 15, 2022

9353 FAIRWAY VIEW PL STE 100, RANCHO CUCAMONGA, CA 91730(909) 858-2772(909) 300-6324 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2022, Sep 27, 2022, Aug 15, 2022 (3 updates tracked since 2022).

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About Grace Foot And Ankle Center NPPES

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

GRACE FOOT AND ANKLE CENTER (NPI 1316665524) is a healthcare organization registered as a podiatric in Rancho Cucamonga, California and active in the NPI registry since August 2022. The organization lists Lucia Kim, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1316665524

Entity TypeOrganization

Primary Taxonomy261QP1100X

Legal Business NameMICHAEL J KIM DPM PC

Location Address9353 FAIRWAY VIEW PL STE 100Rancho Cucamonga, CA 91730-0961

Mailing Address23141 Verdugo Dr Ste 201Laguna Hills, CA 92653-1341 · (949) 215-5055 · Fax (949) 326-5099

Phone(909) 858-2772

Fax(909) 300-6324

Organization SubpartNo

Authorized OfficialLucia KimOffice Manager · (269) 317-4098

Enumeration DateAugust 15, 2022

Last NPPES UpdateDecember 2, 20223 updates tracked since enumeration

NPPES CertifiedDecember 2, 2022

✔ NPI 1316665524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities

Taxonomy Code261QP1100X

9353 FAIRWAY VIEW PL STE 100, Rancho Cucamonga, CA 91730

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Other Names 1

Doing Business AsGrace Foot And Ankle Center

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Foot And Ankle Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grace Foot And Ankle Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Kim, D.P.M.

Podiatry

NPI 1073951190

9353 FAIRWAY VIEW PL STE 100
Rancho Cucamonga, CA 91730

(909) 858-2772

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Michael J Kim Dpm PC's NPI number?

The NPI number for Michael J Kim Dpm PC is 1316665524. It was assigned to this organization in the NPPES registry on August 15, 2022. The provider is doing business as Grace Foot And Ankle Center.

Where is Michael J Kim Dpm PC located?

Michael J Kim Dpm PC is located at 9353 Fairway View Pl Ste 100, Rancho Cucamonga, CA 91730. The listed phone number is (909) 858-2772.

What is Michael J Kim Dpm PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Is Michael J Kim Dpm PC enrolled in Medicare?

Yes. Michael J Kim Dpm PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michael J Kim Dpm PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Michael J Kim Dpm PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Michael J Kim Dpm PC was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.