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YOUNG MIN KIM M.D.
NPI 1679861694
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in San Bernardino, CA

Active since July 11, 2011PECOS Enrolled
85.18/100
CMS Quality Rating
250 E CAROLINE ST, J WEST, SAN BERNARDINO, CA 92408(909) 835-1810(909) 835-1780 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Young Min Kim M.d. NPPES

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

YOUNG MIN KIM M.D. (NPI 1679861694) is an individual neurology with special qualifications in child neurology provider in San Bernardino, California, licensed in California (A141523) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679861694
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameYOUNG MIN KIMCredential: M.D.
Location Address250 E CAROLINE ST, J WESTSan Bernardino, CA 92408-3747
Mailing Address11175 Campus Street, Department Of Pediatrics, Coleman PavillionLoma Linda, CA 92354 · (909) 558-8291 · Fax (909) 558-0440
Phone(909) 835-1810
Fax(909) 835-1780
Sole ProprietorYes
Enumeration DateJuly 11, 2011
Last NPPES UpdateMarch 15, 2017
✔ NPI 1679861694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in CA · A141523
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License 2011015241 (MO)
250 E CAROLINE ST, San Bernardino, CA 92408
Open in Google Maps ↗

Other Names 1

Professional Name (2)Young-min Kim M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Young Min Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Faculty Physicians And Surgeons Of Llusm
Same address
Pediatrics
250 E CAROLINE ST STE J
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1124077516 (909) 651-1900
Sac Health System
2.9 mi
Federally Qualified Health Center (FQHC)
1454 E 2ND ST
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 455 clinicians in this Medicare group
NPI 1013935915 (909) 382-7100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92408 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

Other Providers at the Same Location NPPES 8

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

MRS. NANCY BRAVO PA-C
Physician Assistant (Surgical)
250 E CAROLINE ST, SUITE A
SAN BERNARDINO, CA 92408
San Bernardino County (909) 730-2134
DR. VINH TRAN NGUYEN MD
Pediatrics (Pediatric Allergy/Immunology)
250 E CAROLINE ST
SAN BERNARDINO, CA 92408
San Bernardino County (909) 651-1900
KHIET NGO D.O.
Pediatrics (Pediatric Gastroenterology)
250 E CAROLINE ST, SUITE J
SAN BERNARDINO, CA 92408
San Bernardino County (909) 651-1903
BISWAS JOSHI M.D.
Pediatrics (Pediatric Pulmonology)
250 E CAROLINE ST, SUITE J
SAN BERNARDINO, CA 92408
San Bernardino County (909) 651-1901
DR. CHERYL P SANCHEZ-KAZI MD
Pediatrics (Pediatric Nephrology)
250 E CAROLINE ST, SUITE J
SAN BERNARDINO, CA 92408
San Bernardino County (909) 651-1904
JASPAL SINGH HOTHI MD
Pediatrics (Pediatric Pulmonology)
250 E CAROLINE ST
SAN BERNARDINO, CA 92408
San Bernardino County (909) 651-1900
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Pediatrics
250 E CAROLINE ST, STE A, B, G
SAN BERNARDINO, CA 92408
San Bernardino County (909) 835-1810
MR. DAVID G ERICKSON OTR/L
Occupational Therapist
250 E CAROLINE ST
SAN BERNARDINO, CA 92408
San Bernardino County (909) 528-1471

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 Young Kim's NPI number?

The NPI number for Young Kim is 1679861694. It was assigned to this individual provider in the NPPES registry on July 11, 2011. The provider is also known as Young-Min Kim M.D..

Where is Young Kim located?

Young Kim practices at 250 E Caroline St J West, San Bernardino, CA 92408. The listed phone number is (909) 835-1810.

What is Young Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Young Kim enrolled in Medicare?

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

Which organizations bill Medicare for Young Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Young Kim reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (San Bernardino, CA) and Sac Health System (San Bernardino, CA). 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 Young 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 Young Kim was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.