DR. TOMMY YOUNGHO KIM M.D.
NPI 1730172693
Pediatrics - Pediatric Emergency Medicine in Loma Linda, CA
About Dr. Tommy Youngho Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TOMMY YOUNGHO KIM M.D. (NPI 1730172693) is an individual pediatric emergency medicine provider in Loma Linda, California, licensed in California (A74005) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tommy Youngho Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Tommy Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loma Linda, CA 92350
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Redlands, CA 92373
- Reassigned Medicare billing, California enrollment
- 2,323 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Tommy Kim's NPI number?
The NPI number for Tommy Kim is 1730172693. It was assigned to this individual provider in the NPPES registry on August 25, 2005.
Where is Tommy Kim located?
Tommy Kim practices at 11234 Anderson St A 108, Loma Linda, CA 92354. The listed phone number is (909) 558-4000.
What is Tommy Kim's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Tommy Kim enrolled in Medicare?
Yes. Tommy Kim is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tommy Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tommy Kim reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Cep America - California (Redlands, 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 Tommy 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 Tommy Kim was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Tommy Youngho Kim, M.D. · NPI 1730172693
Pediatric Emergency Medicine physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since August 25, 2005.
## Identity
- **NPI:** 1730172693 (Entity type: Individual)
- **Enumerated:** August 25, 2005
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** A74005 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, A 108, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Faculty Physicians And Surgeons Of Llusm (NPI 1477503407, Loma Linda, CA); Cep America - California (NPI 1619926771, Redlands, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2010
- **Other identifiers:** Medicaid Z72778 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1730172693) · Data from the CMS NPPES public registry.