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VICTORIA KIM
NPI 1689317216
Pediatrics in Loma Linda, CA

Active since April 20, 2022PECOS Enrolled
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4174 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 30, 2025, Apr 20, 2022 (2 updates tracked since 2022).

About Victoria Kim NPPES

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

VICTORIA KIM (NPI 1689317216) is an individual pediatrics provider in Loma Linda, California, licensed in Michigan (4301514644) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Loma Linda University School Of Medicine (2022).

NPPES Registry Identity

NPI1689317216
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameVICTORIA KIM
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address11234 Anderson StLoma Linda, CA 92354-2804
Phone(909) 558-4174
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2022
Enumeration DateApril 20, 2022
Last NPPES UpdateMay 30, 20252 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1689317216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301514644
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

11234 ANDERSON ST, Loma Linda, CA 92354
Open in Google Maps ↗

Secondary Practice Location 1

Location 13901 Beaubien StDetroit, MI 48201-2119 · Phone (313) 745-5870

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638672181
PECOS Enrollment IDI20250911002787
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 92354 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 20

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

LEIGH ANN BALLOU PA-C
Physician Assistant (Surgical)
11234 ANDERSON ST, RM 2562B
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6386
DR. TOMMY YOUNGHO KIM M.D.
Pediatrics (Pediatric Emergency Medicine)
11234 ANDERSON ST, A 108
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4000
DR. GARY Y YANG MD
Radiology (Radiation Oncology)
11234 ANDERSON ST, SUITE B-121
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4244
MRS. JEANNINE SHARKEY N.P.
Nurse Practitioner (Pediatrics)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4000
TERESA SERNA-FONSECA
Nurse Practitioner (Pediatrics)
11234 ANDERSON ST, MC 5700H
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8393
LOMA LINDA UNIVERSITY CARDIOLOGY MEDICAL GROUP, INC.
Internal Medicine (Cardiovascular Disease)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4200
JANELLE MARIE WARREN NP
Nurse Practitioner
11234 ANDERSON ST, ROOM 6700H
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8514
LOMA LINDA UNIV ANESTHESIOLOGY MEDICAL GROUP INC
Anesthesiology
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 Victoria Kim's NPI number?

The NPI number for Victoria Kim is 1689317216. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Victoria Kim located?

Victoria Kim practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4174.

What is Victoria Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Victoria Kim enrolled in Medicare?

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

What insurance does Victoria Kim accept?

Health plans from Priority Health list Victoria Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Victoria Kim was last updated on May 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.