PAUL JUHO KIM
NPI 1356208409
Nurse Practitioner - Family in Rancho Cucamonga, CA

Q: What is Paul Kim's NPI number?

The NPI number for Paul Kim is 1356208409. It was assigned to this individual provider in the NPPES registry on January 8, 2026.

Q: What is Paul 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 Paul Kim was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 January 08, 2026PECOS EnrolledAccepts Medicare Assignment

8330 RED OAK ST STE 201, RANCHO CUCAMONGA, CA 91730(909) 987-2528(909) 987-4668 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2026, Jan 8, 2026 (2 updates tracked since 2026).

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About Paul Juho Kim NPPES

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

PAUL JUHO KIM (NPI 1356208409) is an individual family provider in Rancho Cucamonga, California, licensed in California (95037376) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1356208409

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NamePAUL JUHO KIM

Location Address8330 RED OAK ST STE 201Rancho Cucamonga, CA 91730-0603

Mailing Address2 Goldstar PlPomona, CA 91766-6602 · (213) 709-4516

Phone(909) 987-2528

Fax(909) 987-4668

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 8, 2026

Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1356208409 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 · 95037376

8330 RED OAK ST STE 201, Rancho Cucamonga, CA 91730

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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 and accepts Medicare assignment

Paul Juho Kim 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 ID547740466

PECOS Enrollment IDI20260218001998

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 91730 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 5

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

NYEIN TINT M.D.

Internal Medicine