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JOHN J KIM M.D.
NPI 1548218274
Internal Medicine - Gastroenterology in Upland, CA

Active since May 05, 2006
629 N 13TH AVE, UPLAND, CA 91786(909) 981-8905(909) 982-8051 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 27, 2016, May 18, 2016 (2 updates tracked since 2016).

About John J Kim M.d. NPPES

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

JOHN J KIM M.D. (NPI 1548218274) is an individual gastroenterology provider in Upland, California, licensed in California (A29493) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1548218274
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJOHN J KIMCredential: M.D.
Location Address629 N 13TH AVEUpland, CA 91786-4906
Mailing Address629 N 13th AveUpland, CA 91786-4906 · (909) 981-8905 · Fax (909) 982-8051
Phone(909) 981-8905
Fax(909) 982-8051
Sole ProprietorYes
Enumeration DateMay 5, 2006
Last NPPES UpdateJune 27, 20162 updates tracked since enumeration
✔ NPI 1548218274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A29493
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedSpecialistTaxonomy 174400000X · License A29493 (CA)
629 N 13TH AVE, Upland, CA 91786
Open in Google Maps ↗

Other Names 1

Other Name (5)Dr. John Jae-dong Kim M.d.

Other Identifiers 1

Medicare UPINA25790CA

Other Providers at the Same Location NPPES 4

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

JOHN J KIM MD INC
Internal Medicine (Gastroenterology)
629 N 13TH AVE
UPLAND, CA 91786
San Bernardino County (909) 981-8905
KATHLEEN A LAUREL P.A.-C.
Physician Assistant
629 N 13TH AVE
UPLAND, CA 91786
San Bernardino County (909) 985-2709
CT HUNG MD INC.
Specialist
629 N 13TH AVE
UPLAND, CA 91786
San Bernardino County (909) 985-2709
DR. CHUANG TI HUNG M.D.
Internal Medicine (Gastroenterology)
629 N 13TH AVE
UPLAND, CA 91786
San Bernardino County (909) 985-2709

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 John Kim's NPI number?

The NPI number for John Kim is 1548218274. It was assigned to this individual provider in the NPPES registry on May 5, 2006. The provider is also known as Dr. John Jae-Dong Kim M.D..

Where is John Kim located?

John Kim practices at 629 N 13th Ave, Upland, CA 91786. The listed phone number is (909) 981-8905.

What is John Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for John Kim was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.