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DANIEL YOUNGJOO KIM
NPI 1558004846
Podiatrist - Foot & Ankle Surgery in Mission Viejo, CA

Active since April 15, 2022PECOS EnrolledAccepts Medicare Assignment
27800 MEDICAL CENTER RD STE 220, MISSION VIEJO, CA 92691(969) 545-6605(949) 326-7509 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Daniel Youngjoo Kim NPPES

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

DANIEL YOUNGJOO KIM (NPI 1558004846) is an individual foot & ankle surgery provider in Mission Viejo, California, licensed in California (E6150) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2022).

NPPES Registry Identity

NPI1558004846
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDANIEL YOUNGJOO KIM
Location Address27800 MEDICAL CENTER RD STE 220Mission Viejo, CA 92691-6408
Mailing Address27800 Medical Center Rd Ste 220Mission Viejo, CA 92691-6408 · (949) 545-6605 · Fax (949) 326-7509
Phone(969) 545-6605
Fax(949) 326-7509
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2022
Enumeration DateApril 15, 2022
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1558004846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E6150
27800 MEDICAL CENTER RD STE 220, Mission Viejo, CA 92691
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Daniel Youngjoo 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 ID2163943051
PECOS Enrollment IDI20251104002427
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Daniel Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

F Awadalla MD PC
Same address
Dermatology
27800 MEDICAL CENTER RD STE 220
Mission Viejo, CA 92691
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1255982724 (949) 545-6605
Western Radiation Oncology Inc
2,562 mi
Radiation Oncology
207 QUAKER LN FL 1
West Warwick, RI 02893
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1881685527 (650) 940-7280

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

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.

F AWADALLA MD PC
Dermatology
27800 MEDICAL CENTER RD STE 220
MISSION VIEJO, CA 92691
Orange County (949) 545-6605
ANISSA MANSOORI PA-C
Physician Assistant
27800 MEDICAL CENTER RD STE 220
MISSION VIEJO, CA 92691
Orange County (949) 545-6605
DR. FARAH C AWADALLA MD
Dermatology
27800 MEDICAL CENTER RD STE 220
MISSION VIEJO, CA 92691
Orange County (949) 545-6605
F AWADALLA MD PC
Podiatrist (Foot & Ankle Surgery)
27800 MEDICAL CENTER RD STE 220
MISSION VIEJO, CA 92691
Orange County (949) 545-6605

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 Daniel Kim's NPI number?

The NPI number for Daniel Kim is 1558004846. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Daniel Kim located?

Daniel Kim practices at 27800 Medical Center Rd Ste 220, Mission Viejo, CA 92691. The listed phone number is (969) 545-6605.

What is Daniel Kim's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Daniel Kim enrolled in Medicare?

Yes. Daniel 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 organizations bill Medicare for Daniel Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Kim reassigns Medicare benefits to 2 organizations: F Awadalla MD PC (Mission Viejo, CA) and Western Radiation Oncology Inc (West Warwick, RI). Each 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 Daniel 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 Daniel Kim was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.