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DR. IVAN KIM MD, MA
NPI 1477132173
Anesthesiology in Loma Linda, CA

Active since April 08, 2021PECOS Enrolled
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4015 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 1, 2026, Apr 8, 2021 (2 updates tracked since 2021).

About Dr. Ivan Kim Md, Ma NPPES

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

DR. IVAN KIM MD, MA (NPI 1477132173) is an individual anesthesiology provider in Loma Linda, California, licensed in California (A195501) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2021).

NPPES Registry Identity

NPI1477132173
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. IVAN KIMCredential: MD, MA
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address26520 Cactus Ave, Department Of AnesthesiologyMoreno Valley, CA 92555 · (951) 486-5293
Phone(909) 558-4015
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2021
Enumeration DateApril 8, 2021
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1477132173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A195501
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11234 ANDERSON ST, Loma Linda, CA 92354
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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 (PECOS)

Dr. Ivan Kim Md, Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204390685
PECOS Enrollment IDI20260716001176
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.

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.

ELYSE LAUREN GURAN
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
SAMUEL COOK CHAMBI
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
LUIS MIGUEL OLMEDO TEMICH MD
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
HYUKJE SUNG MD, MA
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
JEFFERSON BRANCH RICHARDS
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4074
JOSEPH UNIS M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8311
MARINA LIU M.D.
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475
JOSEPH M WILKINSON CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475

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 Ivan Kim's NPI number?

The NPI number for Ivan Kim is 1477132173. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Ivan Kim located?

Ivan Kim practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4015.

What is Ivan Kim's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Ivan Kim enrolled in Medicare?

Yes. Ivan Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ivan Kim was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.