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DR. CLARA KIM D.M.D, M.S
NPI 1700105681
Dentist - Periodontics in Pomona, CA

Active since May 18, 2010PECOS Enrolled
795 E. SECOND ST., SUITE 8, POMONA, CA 91766(909) 706-3910(909) 469-8650 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Clara Kim D.m.d, M.s NPPES

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

DR. CLARA KIM D.M.D, M.S (NPI 1700105681) is an individual periodontics provider in Pomona, California, licensed in California (56865) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700105681
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. CLARA KIMCredential: D.M.D, M.S
Location Address795 E. SECOND ST., SUITE 8Pomona, CA 91766
Mailing Address795 E. Second St., Suite 8Pomona, CA 91766-2007 · (909) 706-3910 · Fax (909) 469-8650
Phone(909) 706-3910
Fax(909) 469-8650
Sole ProprietorNo
Enumeration DateMay 18, 2010
Last NPPES UpdateJune 5, 2018
✔ NPI 1700105681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 56865
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

795 E. SECOND ST., Pomona, CA 91766
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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)

Dr. Clara Kim D.m.d, M.s 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91766 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 10

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

RAY M. YUTANI DO
Family Medicine
795 E. SECOND ST., SUITE 5
POMONA, CA 91766
Los Angeles County (909) 865-2565
MICKEY AVRAM SEFFINGER D.O.
Neuromusculoskeletal Medicine & OMM
795 E. SECOND ST., SUITE 5
POMONA, CA 91766
Los Angeles County (909) 865-2565
JOSEPHINE LIN O.D
Optometrist
795 E. SECOND ST., SUITE 2
POMONA, CA 91766
Los Angeles County (909) 706-3899
PHILIP KWOK O.D.
Optometrist
795 E. SECOND ST., SUITE 2
POMONA, CA 91766
Los Angeles County (909) 706-3899
DR. AN DUY VO OD
Optometrist
795 E. SECOND ST., SUITE 2
POMONA, CA 91766
Los Angeles County (909) 706-3899
DR. MARK DOUGLAS MINTLINE DDS
Dentist
795 E. SECOND ST., SUITE 8
POMONA, CA 91766
Los Angeles County (909) 706-3910
DR. SABA SADRA DPM
Podiatrist
795 E. SECOND ST., SUITE 7
POMONA, CA 91766
Los Angeles County (909) 706-3877
DR. TRANG BICH NGUYEN DDS
Dentist (Endodontics)
795 E. SECOND ST., SUITE 8
POMONA, CA 91766
Los Angeles County (909) 706-3910

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 Clara Kim's NPI number?

The NPI number for Clara Kim is 1700105681. It was assigned to this individual provider in the NPPES registry on May 18, 2010.

Where is Clara Kim located?

Clara Kim practices at 795 E. Second St. Suite 8, Pomona, CA 91766. The listed phone number is (909) 706-3910.

What is Clara Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Clara Kim enrolled in Medicare?

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

What insurance does Clara Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Clara 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 Clara Kim was last updated on June 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.