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CHIN G. KIM, M.D., INC.
NPI 1689635906
Specialist in Anaheim, CA

Active since March 28, 2006
3400 W BALL RD, SUITE 208, ANAHEIM, CA 92804(714) 761-0759(714) 761-3758 Get Directions Write a Review

NPPES record last updated: May 23, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chin G. Kim, M.d., Inc. NPPES

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

CHIN G. KIM, M.D., INC. (NPI 1689635906) is a healthcare organization registered as a specialist in Anaheim, California and active in the NPI registry since March 2006. The organization lists Chin Goo Kim, M.d., as its authorized official.

NPPES Registry Identity

NPI1689635906
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHIN G. KIM, M.D., INC.
Location Address3400 W BALL RD, SUITE 208Anaheim, CA 92804-3738
Mailing Address3400 W Ball Rd, Suite 208Anaheim, CA 92804-3738 · (714) 761-0759 · Fax (714) 761-3758
Phone(714) 761-0759
Fax(714) 761-3758
Organization SubpartNo
Authorized OfficialChin Goo KimM.d. · (714) 761-0759
Enumeration DateMarch 28, 2006
Last NPPES UpdateMay 23, 2008
✔ NPI 1689635906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A34967
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3400 W BALL RD, Anaheim, CA 92804
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Other Identifiers 1

Medicare UPINA88312CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chin G. Kim, M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Chin G. Kim, M.D., Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chin Kim, M.D.
General Surgery
NPI 1295910958
3400 W BALL RD STE 208
Anaheim, CA 92804
(714) 761-0759
✔ PECOSSame address

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

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 Chin G. Kim, M.D., Inc.'s NPI number?

The NPI number for Chin G. Kim, M.D., Inc. is 1689635906. It was assigned to this organization in the NPPES registry on March 28, 2006.

Where is Chin G. Kim, M.D., Inc. located?

Chin G. Kim, M.D., Inc. is located at 3400 W Ball Rd Suite 208, Anaheim, CA 92804. The listed phone number is (714) 761-0759.

What is Chin G. Kim, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Chin G. Kim, M.D., Inc. enrolled in Medicare?

Yes. Chin G. Kim, M.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chin G. Kim, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Chin G. Kim, M.D., Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Chin G. Kim, M.D., Inc. was last updated on May 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.