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PAUL SEUNG KI KIM M.D.
NPI 1710129093
Preventive Medicine - Public Health & General Preventive Medicine in San Bernardino, CA

Active since April 01, 2009PECOS Enrolled
1950 S SUNWEST LN, STE 108, SAN BERNARDINO, CA 92408(909) 521-8818(909) 521-9854 Get Directions Write a Review

NPPES record last updated: June 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2023, Mar 12, 2020 (2 updates tracked since 2020).

About Paul Seung Ki Kim M.d. NPPES

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

PAUL SEUNG KI KIM M.D. (NPI 1710129093) is an individual public health & general preventive medicine provider in San Bernardino, California, licensed in California (A114242) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710129093
Entity TypeIndividualMale
Primary Taxonomy2083P0901X
Provider Legal NamePAUL SEUNG KI KIMCredential: M.D.
Location Address1950 S SUNWEST LN, STE 108San Bernardino, CA 92408-3263
Mailing Address1950 S Sunwest Ln, Ste 108San Bernardino, CA 92408-3263 · (909) 521-8818 · Fax (909) 521-9854
Phone(909) 521-8818
Fax(909) 521-9854
Sole ProprietorNo
Enumeration DateApril 1, 2009
Last NPPES UpdateJune 11, 20232 updates tracked since enumeration
NPPES CertifiedJune 11, 2023
✔ NPI 1710129093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
License✔ Licensed in CA · A114242
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Also ListedSpecialistTaxonomy 174400000X · License A114242 (CA)
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License A114242 (CA)
Also ListedGeneral PracticeTaxonomy 208D00000X · License A114242 (CA)
1950 S SUNWEST LN, San Bernardino, CA 92408
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18100 California City BlvdCalifornia City, CA 93505-2648 · Phone (818) 651-6608 · Fax (818) 584-2703
Location 217310 Bear Valley Rd Ste 101Victorville, CA 92395-7773 · Phone (909) 453-3255 · Fax (909) 521-9854

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Seung Ki 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 Reassignment

Medicare enrollment records show Paul Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cal City Urgent Care
83 mi
Urgent Care
8100 CALIFORNIA CITY BLVD
California City, CA 93505
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1659092997 (818) 651-6608

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
87 services87 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services47 patients

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
$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
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 20

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

JENNIFER HEADLAND
Student in an Organized Health Care Education/Training Program
1950 S SUNWEST LN
SAN BERNARDINO, CA 92408
San Bernardino County (909) 252-4010
SUSAN NMI DAVIS LMFT
Marriage & Family Therapist
1950 S SUNWEST LN, SUITE 200
SAN BERNARDINO, CA 92408
San Bernardino County (909) 252-4044
RUBEN DIEGO GONZALEZ
Social Worker (Clinical)
1950 S SUNWEST LN, SUITE 200
SAN BERNARDINO, CA 92408
San Bernardino County (909) 252-4010
ROBERT KLACANSKY
Student in an Organized Health Care Education/Training Program
1950 S SUNWEST LN, SUITE 200
SAN BERNARDINO, CA 92408
San Bernardino County (909) 252-4010
MR. JUAN A FIGUEROA JR.
Student in an Organized Health Care Education/Training Program
1950 S SUNWEST LN
SAN BERNARDINO, CA 92408
San Bernardino County (909) 252-4010
KYLE YOUNG
Student in an Organized Health Care Education/Training Program
1950 S SUNWEST LN
SAN BERNARDINO, CA 92408
San Bernardino County (909) 252-4010
LISA HAPER
Student in an Organized Health Care Education/Training Program
1950 S SUNWEST LN
SAN BERNARDINO, CA 92408
San Bernardino County (909) 252-4010
MEGAN GRISSO
Student in an Organized Health Care Education/Training Program
1950 S SUNWEST LN
SAN BERNARDINO, CA 92408
San Bernardino County (909) 252-4010

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 Paul Kim's NPI number?

The NPI number for Paul Kim is 1710129093. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Where is Paul Kim located?

Paul Kim practices at 1950 S Sunwest Ln Ste 108, San Bernardino, CA 92408. The listed phone number is (909) 521-8818.

What is Paul Kim's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Paul Kim enrolled in Medicare?

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

Which organization bills Medicare for Paul Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Kim reassigns Medicare benefits to Cal City Urgent Care (California City, CA). The 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 Paul 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 Paul Kim was last updated on June 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.